This Ph.D. thesis is a collection of articles that form a new area of psychosocial support and rehabilitation in the cancer field. The dissertation seeks to answer the following research question:

How can narrative coaching used in natural surroundings support couples where one has cancer?

Based on current research on coherent patient trajectories, psychosocial rehabilitation for cancer patients and their partners, as well as learning in nature, the Ph.D. project was initiated. The primary focus is to investigate how natural environments can support the effort concerning the quality of life of cancer
patients, from a learning perspective. The dissertation is an intervention study that invents new ways to create and facilitate reflection exercises that can support cancer-affected couples' experience of the quality of life and coherence in the disease process. With natural surroundings as a framework, pedagogical and rehabilitative perspectives link on facilitating a reflective environment for couples who need attention to the quality of life in the relationship undergoing medical cancer treatment.