During the last 15 years, I have worked as an academic developer. The last ten at Karolinska Institutet, Stockholm, Sweden. There, I have encountered many people with a passion for education. They have attended courses and workshops, developed educational projects, conducted the scholarship of teaching and learning, they have written about their work, documented it and have had the very best of intentions on developing their practice. Most often, their work is driven by a desire to improve, and often to explore. At their core, these people are disciplinarians, and not necessarily fully-fledged educators or leaders. My work has been about informing their practice, about driving academic and educational development across campus, and has been about initiating and enabling change in academic, educationally oriented practice. At the same time, higher education in Sweden has witnessed the introduction of the Bologna process. The higher education sector in Sweden has started to charge a tuition fee for some foreign students and the sector is about to enter a new and novel cycle of national, external reviews under the guise of quality assurance. Higher education finds itself in a constant predicament, where things are always in flow and changing, but still tend to stay the same; the same river, but it keeps flowing. This thesis is concerned with the phenomenon of change practice. As an academic developer, I have witnessed many teachers whom, with enthusiasm, wish to change their own practice, only to find that this is easier said than done. This thesis and research project is driven in part by a wish to understand what makes change so difficult but also how people work with the enhancing and changing their practice. Moreover, it is used as an opportunity to reflect on my own, and others' academic development practice, to see how we can better serve the university, and its stakeholders, and to also pursue independent academic research in the context of academic development in higher education. At the same time this thesis and the research work done within, has allowed me an opportunity to take a look at the way a university works when engaging in capacity building and change practice. The title of this thesis is adapted from a collection of short stories, entitled: What We Talk About When We Talk About Love. There, the short stories play out in common and ordinary settings. In a similar fashion, the studies in this thesis, and the thesis itself presents a number of snapshots or short stories from the practice of change in a higher education institution.