A model for using group counseling with cancer patients is proposed in this document. The literature on the psychological effects of cancer and the effects of social support are summarized. It is concluded that the literature shows cancer patients are subjected to intense psychological distress and that at the same time their social supports may not be adequate to ease their distress. Group counseling for cancer patients is proposed in which members will be encouraged to try these behaviors in the group: (1) talk about their feelings associated with the diagnosis; (2) recognize issues such as loss of control; (3) cope with issues in relationships with families and friends; (4) work more assertively with their physicians in managing their medical treatment; and (5) face impending death without denial, especially for the terminally ill group. Issues of structure and setting are addressed, including place, size of group, and number and length of sessions. Issues relevant to the group process, including focusing on a supportive approach and willingness by the group leaders to allow a discussion of death in the group, are discussed. The therapeutic benefits of group counseling for this population are listed, and evaluation procedures are suggested. (14 references) (ABL)