Interesting. The way I figure it, Dr. Logan knows Dean no other way than what she sees here. She doesn't know he can kill with his bare hands. Even when he's having a fit, he's only throwing spaghetti, and not trying to KILL someone, like Sam was. Sam having a fit is a scary machine, teeth bared, and wanting to rip someone's head off. Dean's fits are him just coming undone. To someone working with mental patients, I figured, the difference would be quite marked.
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