An assumption implied by much of the literature in information systems (IS) research is that people’s interpretations of technology at an early stage of use influence the way in which the technology gets adapted in the organization. Despite this acknowledgment, little insight is provided of how these interpretations can be elicited and only few studies suggest methods for doing so. In this paper we address this opportunity by (i) introducing cognitive mapping as a method to inquire into people’s interpretations during technology adaptation; by (ii) highlighting how cognitive maps can serve as visual means of representation of these interpretations; and by (iii) discussing how the maps can be used to facilitate individual reflection and collective negotiation of technology adaptation. We illustrate the use of the cognitive mapping method by a case example of the introduction of an Electronic Patient Record (EPR) system. Our findings contribute to discuss the value of cognitive mapping as a facilitator of individual reflection and collective negotiation in relation to technology adaptation.