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The text presented here recounts the clinical experience of a group situation set up in 2018 within a hospital service of geriatric medicine (Department of Clinical Gerontology, University Hospital Centre in Saint-Etienne). It concerns a mediated expression workshop (Photolanguage©) dedicated to supporting medical interns with their task of giving end-of-life care to elderly persons, thereby contributing to their training. The complex clinical situation of end-of-life care and the confrontation with death elicits in the young doctors in training major anxieties which produce effects of unbinding, splitting, and internal contradictions or dilemmas causing stagnation for the doctor in his learning process, while being detrimental to the relationship with the dying person and his or her family. The psychologist in charge of these workshops, trained in group analytic work, draws inspiration here from the contributions of Enrique Pichon-Rivière and his approach in terms of convergent epistemology, while drawing on the concept of the Conceptual Referential Operative Schema (cros) in order to describe the process of learning and thus of adaptive creation that develops through it.