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Clinical work in psychiatry (more specifically in a Unit for Difficult Patients) with psychotic patients deemed to be dangerous mobilizes defenses which, within the therapeutic dynamic, very often favors care strategies based on logic of control or on risk anticipation tools. With regard to these pathologies confronting all the most enigmatic forms of thought and being, clinical work – in its saving ambition – can be disavowed since any relation to thought converses with the intolerable. In this context, projective tools, which at the same time make clinical evaluation possible while preserving the encounter and its subjective approach, function as shifts in care. The projective approach thus comes to the service of a taming of thought when thought itself is seen as a threat. Based on the clinical encounter of a patient who killed his mother by strangulation, based on the passing of the Rorschach (in test and re-test), that we will consider how these tools help to identify, name and put to work what is part of the thought processes.