Inclusion Criteria:

- At least six months post radiation and/or surgery for stage I-III rectal
adenocarcinoma or rectosigmoid for cancer with an anastomosis at 15 cm or below and
completed treatment

- At least six months post radiation and/or chemotherapy for anal cancer.

- Have no evidence of disease or recurrence

- For women indicate Indicate moderate satisfaction or below on their overall sexual
life (a score of "4" or lower on the question "Over the past 4 weeks, how satisfied
have you been with your overall sexual life?"

- For men indicate, and a score of "3" or lower on the question "How would you rate
your confidence that you could get and keep an erection" for men) and a score of "2"
or higher on the question "How much does this problem bother you?

- In the judgment of the consenting professional interventionists, able to communicate
in English well enough to work with English speaking and complete the study
assessments.

- Age 21 years or older.

Exclusion Criteria:

- Significant cognitive or psychiatric disturbance sufficient, in the investigator's
judgment, to preclude participation in a psychotherapeutic intervention.

- Are actively participating in protocol 06-151

- Participated in focus group or qualitative interview.