Abstract
We present a discourse analysis of socially supportive interactions in a UK geriatric medical context. Three overlapping sets of discourse processes are discussed: first, how doctors are concerned to resist and renegotiate patients' ideological values of ageing and health, interactively ; second, the collaborative negotiation of depression and the construction of positivity ; third, patients being helped to acclimatize to new health constraints and to 'cope' with associated life transitions. We argue that these sequences enact a particularly intense set of renegotiative processes, where patients' life narratives come up for review and potential realignment. The modelling of how social support for older people is communicated can benefit from detailed textual and contextual analysis, integrated into broader theoretical frameworks
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