The purpose of this paper is to outline the need to develop a more balanced approach to addressing the various types of loneliness experience by older people by recognising the psychological and emotional dynamics which cause it. It proposes a more holistic psychosocial approach to loneliness. This requires urgent attention given the very weak evidence base for the current ‘socially based’ interventions. There is a need to develop approaches which address loneliness ‘from the inside out’, rather than just continuing to try and get lonely people to join groups.

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