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The urgency to erase symptoms dominates today’s psychiatry—in particular in hospitals. This context questions the role of interviews with the psychologist during hospitalization, particularly as hospitalized patients are not necessarily willing to start a psychotherapeutic process. This article examines the conditions for the subject to have another space to talk, by listening to the meaning behind the symptom and to the deadly but unavoidable destructiveness. The psychiatrist-psychologist bipolarity is particularly appropriate for hospitalized patients who suffer from narcissistic and identity disorders: the positives—“propping ” and the pleasure principle—do not exist without the negatives—loss and the death drive.