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The psychiatric institution is a system composed of practitioners who focus on providing care for people suffering from mental disorders. It is brought to life by a focus on the patient’s care and the caregiving dynamic, thus creating the homeostasis necessary for its survival. Facing the question of their patients’ psychological or physical death, healthcare practitioners can feel their very existence threatened. The state of alert generated by fear can then engage a struggle with the death drive. The authors try to reveal the movements involved in this struggle between the death drive and the life drive, and they develop the idea that, supported by the group, it is necessary to work on accepting death and their own fear in order to care for their patients.