couples where woman has received a diagnosis of nonmetastatic breast carcinoma;

diagnosis was within the last 36 months;

woman is age less than or equal to 50 at age of diagnosis;

completed or are nearing the end of active treatment;

couples must be in a committed, heterosexual relationship;

fluent in english with the ability to read and write in english.

non-heterosexual couples;

women older than 50;

previous diagnosis of moderate to severe psychological problems that may interfere with capacity to benefit from the intervention;

couples who plan to participate in couple counselling during the 5-month study duration.