The aim of this paper is to explore how school staff members involved in Student Health and Welfare conferences reflect on individual students with high levels of truancy based on their personal relationships. Using positioning analysis, the transcriptions of 15 interviews with staff were analysed. The school staff's reflections on the individual students covered three areas: health, social well-being and education. The results show the ways in which positions were shaped and illustrate a reflexive process that developed continually throughout the staff's relationships with the students. The staff positioned the students and indicated attributions of the students; however, the attributions were predominately negative. With each position, the staff's view of students as subjects or objects and their relationships to the students are described in terms of mutual or one-way dialogue.