Small group tutorials are commonly used as a teaching method in the problem-based learning. However, the learning elements of small group teaching based on a humanistic approach have only been explored to a limited extent. The goal of this article is to identify the learning elements that are involved in small-group teaching so that they can be used to make such teaching more effective and more enjoyable. An observer acting as a teacher-participant collected the field notes as well as the teaching and learning journals from psychiatric-mental nursing courses involving small group learning. The results were analyzed by a constant comparative method. The elements involved in small group learning are, firstly, the ability to accommodate to the new method, secondly, how the knowledge gained is embodied as controlled by the textbook and by the group dialogue, thirdly, the development of an inquiring mind together with critical thinking and finally, the formation of a partnership within the group.