In this paper some reflections on the clinical management of psychiatric offenders will be discussed starting from the experience in various therapeutic communities and in the supervisory space of a REMS. After some considerations on the dilemma between safety and the need for listening, the author will look at the inevitable confrontation of operators with the dark side of man through intimate and daily relationship with patients. Some common problems will be identified and analyzed in the groups of operators working in these institutions: on this basis some ways will be highlighted to combine the maintenance of a climate of safety with the ability to give meaning to the expressions of violence. In conclusion, some hypotheses of the origin of violent behavior will be analyzed.
Keywords: Psychiatric Patient Offenders, REMS, Therapeutic Communities, Violence, Équipe.