In this article I examine the nature of reciprocity and representation when mental illness is associated with the researcher and/or participant. Reciprocity has been a central concept of activist research methodology, which explores how academic knowledge can be used in the public sphere. Ellen Cushman defines reciprocity as “an open and conscious negotiation of the power structures reproduced during the give-and-take interactions of the people involved on both sides of the relationship” (16). Reciprocity can take the form of sharing the final write-up with participants, inviting participants into the composing of the write-up itself, and writing for and with participants on community-rather than academically-focused projects. These facets of reciprocity are particularly attuned to the civic turn of rhetoric and composition, such as that seen in John Ackerman’s and David Coogan’s edited collection, The Public Work of Rhetoric. For example, in Sophists for Social Change, Coogan describes his experience partnering with teens to organize a booklet describing a city community in order to promote a teen center. The civically-oriented, activist nature of reciprocity links it to the public sphere through its concern for research participants.