This study examines how an organization engaged in research and health care chose to communicate during a crisis of confidence. The case the study examines is that of Karolinska Instiututet in their crisis with Pablo Macciharini. By using Beniot’s image repair-theory and rhetorical theory this study examines how an organization communicate during the different stages of a crisis. The results show that Karolinska Institutet chose to change what image repair-strategies there where using when new evidences of their guild arose. The study did also show that an organization engaged in research and health care dint alter in their way of using image repair-strategies if compered to other organizations.