Wow. "Lifers" to me seems so derogatory, especially when you're saying that the patient you dealt with actually did NOT meet criteria to be locked up?
I'm sorry, it sounds like an awful situation. I don't do well in those types of situations (where you believe or know one thing, but your work environment prevents you from speaking honestly about it). T and I actually were talking about this last week (!) in a different context, how crazy making it can be when work demands that you deny reality
I hope you can talk with your T more about this, so that he understands how you reacted to his statements... and I hope he can be a bit more understanding next time around!
Oh, and THANK YOU. Sincerely, thank you for seeing the patient's perspective, and for caring, and for doing this work.