At a local insane asylum, a psychologist (Viveca Lindfors) is trying to communicate with Lansdale. She wants him to remember and admit that it was him, not his severed hand, who killed all the victims. He says that the hand wants to kill her because it hates her. Suddenly, the hand (which apparently existed all along) appears from behind the psychiatrist and strangles her. Lansdale, completely taken over by the essence of the hand, looks at her dead body and starts to laugh. He loosens the restraint on his other hand and gets up, presumably to escape from the asylum.