“…Less work has focused on within-situation disengagement and social withdrawal (but see Gfeller et al, 2019 ; Heffernan et al, 2016 ). As with social withdrawal, the biggest impact of hearing loss on an individual's social interactions may be at the most peripheral, tertiary level of relationships, whereas the core level of an individual's social network, including immediate family and care givers, may be much less affected ( Figure 1 ; Wahl et al, 2013 ). At this stage, individuals may consider it more adaptive to focus on quality over the quantity of social interactions ( Carstensen et al, 1999 ).…”