Alvarez meticulously diagnoses the mental state of her patients and distinguishes very precisely, for example, whether a child is fascinated by violence in a psychopathic way or simply filled with violence that they cannot process. Anne Alvarez truly has something to say. Alvarez differentiates three levels of mental states and thus also of technical approaches: First, a level where explanatory interpretations in the true sense are possible and necessary, namely the more or less neurotic states; then a level that requires more descriptions of the state in order to make the patient's own inner condition experienceable; third, a level where patients seem to have no hope of being interested or, above all, of being engaged.