SUMMARY This paper illustrates how value conflicts between the competing philosophies of community care and integrated living are played out at a micro level. The experiences of service users in Derbyshire show how the process of care assessment can perpetuate traditional discourses of disability based on dependency, individualization and segregation. By contrast, self assessment within an integrated living approach opens up new possibilities for resistance through the supported self-empowerment of service users. Moreover, the participation of disabled people in managing their own affairs challenges established cultural values about the role of disabled people in society. British disability policy has been traditionally dominated by an ideology of disabling cultural values. In particular, policy makers and those in the 'caring' professions have often viewed disability in terms of personal tragedy, the impaired body and otherness. These core values have been translated into mainstream disability services through a preoccupation with care, medicaliz ation and segregation (rather than civil rights, participation and social integration). By contrast, the values of the disabled people's movement rep resent a significant counter-culture. In particular, the professionally domin ated discourse of 'care' has been increasingly challenged by the establishment of numerous independent living projects under the control of disabled people