This book attempts to answer the question: what do managers in multinational companies really do during meetings? Following fieldwork in three corporations in Britain and Italy, the data show that organisational meanings and relations come into existence through verbal interaction; these are challenged and manipulated in a constant process of sense-making in search of coherence which engages managers in their daily work life. The pragmatics of pronominalisation, metaphors and discourse markers, as well as thematic development, reveal the dynamics of sense-making in both English and Italian.