This study explores the interrelations among visibility, knowledge, and pow
er in a hybrid institution-a hospital that functions as a boarding school f
or handicapped children. It demonstrates how the incongruity between the in
stitution's formal definition as a hospital and its day-to-day reality play
s a role in shaping the power structure, prioritization of types of knowled
ge, and visibility of its agents. For through these groups' interactions wi
th, reactions to, and acceptance of these structural determinants, the inst
itution's own identity rakes shape around the conflicting discourses of soc
ial control that it seeks to accommodate.