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In a context of abuse within the field of geriatrics, it appeared that with the introduction of a space for dialogue, a real reversal took place. This changed the coordinates of the transition to the repeated act and allowed the caregiver to enter into a different type of action, outside of this space for dialogue. The coordinates of this, analogous to that described in acting out, somehow oppose point by point those of the act, an authentic institutional letting go toward the ideal and the voice of carers. The introduction of this space for dialogue allows the caregiver to report an experience of repetition that is at work institutionally, to make it present in transference, and to also establish the potential for a disclosure about elder abuse. Acting out thus appeared in this research as a clinical possibility: with the establishment of this space for dialogue, the repetition of abuse can replay itself through a form of acting similar to acting out. To summarize, there is a specific way of acting outside of this space, thereby revealing all clinical possibilities in terms of development, of possible disclosures about elder abuse, and of work on anxiety and transference (that acting out attempts to ignore) in these links with the resistance to speech that caregivers demonstrated in our clinical encounters.