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Companionship services refer to professional or volunteer-based programs designed to offer friendship, emotional support, and engaging activities to seniors in their homes or community settings. Such findings do not contradict other evidence indicating that some older adults experience disappointing or conflictual relationships with others that jeopardize their health. For still other older adults, adversity experienced early in life may foster attachment insecurities that create a predisposition to troubled relationships (Fagundes, Bennett, Derry, & Kiecolt-Glaser, 2011). For other older adults, intergenerational or cultural differences in expectations for support and companionship may precipitate misunderstandings (Pillemer et al. 2007