Part 1 Definitions: what do we mean by the culture of an institution?; what is involved in cultural change?; what do we mean by teaching?; what do we mean by learning?; what do we mean by including pupils with learning difficulties?. Part 2 Descriptions: what is involved in different types of teaching for teachers?; what are the necessary conditions for change - flexible teachers, flexible learners?; what is involved in different types of teaching for learners?. Part 3 Developments: how do teachers support learners and learning?; can pupils support themselves and one another in the learning process?; how can pupils become self-aware and self-directing as learners?. Part 4 Conclusions and implications: what is entailed in managing change?; what is the significance of critical dialogue?; what does the specialist sector have to offer?