The main purpose of this study is to survey and reach an understanding of how the practical work in psychiatry at times depart from the organization’s stated formal structure. To find the material that would give us the answers we read the organizations own documents about the formal structures form and also we had five interviews. All the tutors are involved in one way or another with the psychiatric and the forensic process. .Job titles vary in order to access information from different parts of the process and get multiple perspectives.  The data was analyzed with sociological concepts and a more comprehensive theory. Some of the concepts are “formal structure”, “cooperation”, "the relationship between freedom and constraint” and “gräsrotsbyråkrater”. The theory that we used to examine the material is W. Meyer and Rowans theory about how the formal structure of an organization and business is only a myth and ceremony.  The result of the study indicates that a plurality of elements has an impact on why the difference between the formal structure and the practical process exists. The loose constraint leads to a wider freedom of action that gives a varied embodiment within the different workgroups. It becomes a habitual pattern in the practical process and the looks of the formal structure is not a priority. The practical process is not aligned with the formal structure and that causes problems. The cooperation is affected negatively and becomes inexplicit and the workgroups can form how the duties are done instead of the organizational management plan (the formal structure). That brings the opportunity to decide and claim that the own group does it better so cooperation partners is excluded in the practical process, when they actually are supposed to be included according to the formal structure.