title: Cognitive therapy trainees' self-reflections on their professional learning.
abstract: BACKGROUND
  The widening scope of cognitive therapy models and strategies poses a challenge for designing cognitive therapy training. What are the core skills to be learned? What do learners view as important to learn and what are the skills and knowledge they focus on?
  
  
  OBJECTIVE
  The present study describes the perceptions of CT trainees of both what is important and what is difficult to learn. We also analyse what the trainees focus on when evaluating their professional learning. In addition, we report on changes in self-assessed skills during the training.
  
  
  METHODS
  Quantitative and qualitative data were collected after 2 years of training (n=39) in three programmes and after the entire 4-year training in four programmes (n=53).
  
  
  RESULTS
  Significant progress was reported in all domains of therapist skills, most clearly in cognitive and constructivist strategies. The trainees practised most those skills they considered important to be learned and, consequently, they also attained a higher level of mastery in these skills. The trainees' learning orientation and foci of self-reflections remained relatively unchanged. They focused on technical and conceptual skills and knowledge, whereas interpersonal skills were peripheral in their self-reflection.
  
  
  CONCLUSIONS
  Pedagogical and theoretical implications of the findings are discussed.
authors.affiliation: Department of Teacher Education, University of Turku, Turku, Finland. paivi.niemi@utu.fi
authors.forename: Päivi M
authors.initials: PM
authors.lastname: Niemi
authors.forename: Juhani
authors.initials: J
authors.lastname: Tiuraniemi
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000193:education* / Q000379:methods*; D004493:Education; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007858:Learning; D008297:Male; D008605:Mental Health Services; D011361:Professional Competence; D011582:Psychological Theory; D012649:Self Concept; D020377:Self Efficacy; D000078329:Workforce