To understand the meaning and functions of social support in the physi
cian-older patient relationship, support must be studied within the me
dical encounter. We examine the dimensions, goals, and determinants of
physician support to older patients in medical encounters and patient
expectations about physician support. Two transcribed cases, taken fr
om an empirical investigation of communication between physicians and
older patients in initial primary care medical encounters, illustrate
the range and variability of physician support behaviors. The concept
of patient support to physicians in medical visits is proposed and dis
cussed.