Abstract(s) :

(Anglais) Our proposal is to show how a combined qualitative methodology can shed light on the feeling of clinical certainty in the choice of a verbal intervention for clinical psychologist in clinical interview situation. What we call “clinical certainty” is what every therapist have already experienced, a kind of feeling of evidence about what we should respond to the patient during the interview, a feeling which seems to have suddenly appeared to our consciousness. We have conducted a research to explore this micro-moment of the therapeutic process at the crossroads between clinical reasoning and clinical intuition. Aim: to show how this feeling of clinical certainty is constructed. Background: our work is rooted in a phenomenologically inspired paradigm. Method: we used video feedback and explicitation interview to access the therapists’ non-conscious knowledge. Results: the feeling of clinical certainty was born below the threshold of consciousness. We also discovered that clinical certainty was essentially constructed in a sensory dimension and in an experiential perspective in the constructivist sense of the term. Furthermore, we showed that our methodology could be used as a supervisory tool to improve therapists’ practice.