The hospitalized aged patient, who is facing illness, who is unable to look after himself, and who is away from home, has at the same time to face living in an institutional collectivity. Although the hospital has the advantage to hosts the patient and take care of him, in the mean time, its environment may cause to him psychological and emotional troubles. Altogether this may generate in the patient the consciousness of becoming old and therefore create a feeling of degeneration of himself. What forrn of psychotherapy has to be choosen to relieve the pains of the aged persons ? It reveals to be very irnportant to the patients to regain their psychic dimension, to restore at best their unsteady identity, and verbally encourage to much connections between their interior world, personal experiences and environment. A benevolent neutrality, non directivity, transference modalities are discussed, and a more intervening approach is used. The determinant poles of this approach are based on a warming listening, a stimulation of the desire of making contacts, the establishrnent of a psychic suppor relationship and a restart of the psychic life.