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Deaf or HearingAuthor(s): Brittany N. Beckner and Donald W.

Helme
Source: American Annals of the Deaf , Vol. 163, No. 3 (Summer 2018), pp. 394-412
Published by: Gallaudet University Press

Stable URL: https://www.jstor.org/stable/10.2307/26484304

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Beckner, B. N., & Helme, D. W. (2018). Deaf or hearing: A hard of hearing individual’s navigation between
two worlds. American Annals of the Deaf, 163(3), 394–412.

Deaf or Hearing: A Hard of Hearing Individual’s


Navigation Between Two Worlds
Brittany N. Beckner and Donald W. Helme

Identity construction and how an individual chooses to navigate or display his or her identity play an
important role in how that person communicates and interacts with others. One group for whom
identity construction and navigation is a difficult process is the hard of hearing population. In the
present study, Communication Theory of Identity (Hecht, 1993) and interactive interviews were used
to gain insight into four layers of identity—personal, relational, enacted, and communal—in the
hard of hearing individual. The authors discuss the themes within each identity layer and the gaps
that are present between layers, as well as the implications of the identified layers and gaps.

Keywords: invisible disability, hearing loss, identity, Communication Theory of Identity

How an individual self-­identifies or uals as either Deaf or deaf (Skelton & Val-
manages and constructs his or her personal entine, 2003), a distinction based on
social identity influences many aspects of whether the hearing loss is being discussed
that person’s life. According to Jung (2007), in a cultural or biological context. If the
it is claimed in the current literature “that community that embraces the cultural val-
identity is formed, maintained, and modi- ues of being Deaf or an individual within
fied in communication” (p. 3). Jung and that community is being discussed (even if
Hecht (2004) examined identity as consti- he or she has only a mild hearing loss), the
tuted by self-­reflection on discourse and individual or community is Deaf. However,
interaction and the idea of identity as being if the biological condition of having a hear-
cocreated in relationships. They concluded ing loss is being discussed, or if an individ-
that “people’s identities are asserted, ual does not embrace Deaf cultural values,
defined, and/or changed in mutual com- then the term deaf is used, even if the hear-
munication activities” (p. 266). Thus, indi- ing loss is profound. The establishment of
vidual identity is constructed and Deafness versus deafness, then, has more to
maintained through one’s communication do with cultural ideals than with the degree
and relationships with others. of one’s hearing loss (Skelton & Valentine,
One such area of identity management 2003).
that needs attention is that of hard of hear- Deaf culture often excludes and even
ing individuals who must attempt to navi- stigmatizes people with hearing loss who
gate between two worlds—the Deaf world are not native users of American Sign Lan-
and the hearing world. This navigation is guage (ASL), those who communicate
exemplified by the classification of individ- orally, and those with cochlear implants.

Beckner is an assistant professor of communication, Department of Communication, University of Dayton,


Dayton, OH. Helme is an associate professor of communication, Department of Communication, Univer-
sity of Kentucky, Lexington.

394

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Navigating Between Two Worlds  395

Such individuals often are not considered assimilate into either community, not sure
to be “pure” deaf, not having immersed of where they fit in best (Bat-­Chava, 2000;
themselves fully in Deaf culture (Davis, Skelton & Valentine, 2003). This popula-
2007). In discussing this separation tion’s unique lack of built-­in social group
between hard of hearing individuals and or cultural identity intensifies the need to
Deaf individuals, Hole (2007) wrote that in gain a deeper understanding of identity
ASL “there is a sign—think-­hearing— construction for hard of hearing
that is used, most often in a derogatory way, individuals.
to indicate or describe a deaf person who is Something further to consider when
not culturally Deaf, but rather, who identi- examining the identity construction of
fies as culturally hearing” (p. 266). Thus, hard of hearing individuals is the fact that
individuals who are deaf or hard of hearing hearing loss is an invisible disability. An
may feel unable to connect with, or even invisible disability is one that is not notice-
feel unwelcomed by, individuals in the able to an observer under normal circum-
Deaf community (Bat-­Chava, 2000; Skelton stances unless the disabled individual or
& Valentine, 2003). another source discloses it (Matthews &
In addition to not completely fitting into Harrington, 2000). The problems associ-
the Deaf community, individuals who are ated with invisible disabilities further com-
hard of hearing or deaf also face stigmati- plicate the identity construction process as
zation in the hearing world because hear- individuals attempt to navigate between
ing loss is perceived to be a disability. disclosing their loss (identifying as a hard
Because most people experience the world of hearing individual) and keeping the dis-
as hearing individuals, hearing is assumed ability to themselves (and consequently
to be “normal”; this mindset stigmatizes perhaps not getting the assistance they
those with a hearing loss who do not have need). Thus, hard of hearing and deaf
“normal” hearing. This thought process individuals are not only faced with the
promotes the “infirmity model” or “medi- issue of how they identify within the Deaf
cal model,” under which deafness is viewed and hearing worlds, but how they present
as an affliction or impairment that needs to that identity and whether or not they
be “fixed” or “cured” (Hole, 2007). Further- should disclose it (Hecht, Jackson, & Pitts,
more, as 95% of children who are deaf or 2005; Najarian, 2008).
hard of hearing have hearing parents The area of identity construction
(Mitchell & Karchmer, 2004), there is often deserves attention because, as Kam and
an identity divide even within families, Hecht (2009) have found, identity con-
which further complicates identity con- struction can predict communication out-
struction within this population (Grosjean, comes, influence a person’s general
2010). Generally, our cultural identity is well-­being, and affect interpersonal rela-
passed on “overwhelmingly by parents . . . tionships. Additionally, identity gaps are
but this high correlation (not absolute, but linked to a number of negative outcomes
high) between parental cultural identity such as depression, misunderstanding, and
and the cultural identity of children is communication dissatisfaction. Further-
manifestly untrue in regard to Deaf cul- more, a hard of hearing individual’s iden-
ture” (Peters, 2000, p. 264). In the naviga- tity construction could affect his or her
tion between the Deaf and hearing worlds, self-­esteem (Jung, 2007; Nikolaraizi &
individuals who are hard of hearing or deaf Makri, 2004), communication messages,
may feel excluded or unable to completely satisfaction with relationships (Jung, 2007;

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396  American Annals of the Deaf, Volume 163, No. 3, 2018

Jung & Hecht, 2004; Kam & Hecht, 2009), members navigate an identity that seems to
education (Grosjean, 2010; Najarian, 2008; lack a community of support.
Reagan, 2002; Wadsworth, Hecht, & Jung,
2008), and general access to accommoda- Communication Theory
tions related to hearing loss (Najarian, of Identity
2008). Given these serious effects, under-
standing how hard of hearing individuals The Communication Theory of Identity
construct their identity is important. (CTI) was introduced as a way of explain-
Further justification for consideration of ing how individuals create, enact, and
hard of hearing individuals’ identity con- communicate identity through their inter-
struction can be found in the growing personal and intergroup interactions
prevalence of disability, which now affects (Hecht, 1993). “The theory is concerned
one fifth of the American population with how individuals and communities
(Courtney-­Long et al., 2015; Matthews & define their identities as well as how those
Harrington, 2000). It has been estimated identities are nested in relationships and
that of those who have disabilities, 40% expressed through communication” (Hecht
have invisible disabilities, such as hearing et al., 2005, p. 31). The main idea of CTI is
loss that can be hidden, and not immedi- that identity is constructed, maintained,
ately noticed by an observer except and challenged in one’s everyday interac-
through the disclosure process (Matthews tions and communication (Drummond &
& Harrington, 2000). However, due to the Orbe, 2008). According to Hecht (1993)
potential stigma associated with hearing and Drummond and Orbe (2008), CTI
loss, disclosure is often a difficult process focuses on four interpenetrating frames of
(Nikolaraizi & Makri, 2004). Goffman reference: personal, relational, enacted, and
(1959) explains that stigma is the negative communal.
evaluation of an individual’s differences or The first frame of identity as posited by
attributes that categorizes the individual as CTI is the personal layer. This layer of iden-
dangerous, weak, or less than normal. tity examines identity from the frame of
Stigma can result in devaluation, labeling how one sees, defines, and feels about one-
as “disabled” or “handicapped,” negative self (Hecht, 1993; Jung & Hecht, 2004).
stereotyping, prejudice, and discrimination This level of identity is based on self-­
(Crocker, Major, & Steele, 1998; Goffman, analysis or self-­concept and examines how
1959). Such characterization can strain one defines oneself in general as well as in
relationships, discredit the stigmatized specific circumstances (Hecht, 1993). In
individual, create the risk of rejection, and the case of the population being examined
diminish self-­esteem (Charmaz, 1991), in the present study, do hard of hearing
potentially making the individual with a individuals self-­define as deaf, Deaf, or
disability less likely to ask for accommoda- hard of hearing, and how does they feel
tions or make social support connections about that identity?
(McCroskey, Richmond, Daly, & Falcione, The second layer of identity is the rela-
1977). Because of the growing prevalence tional layer, or how identity is formed
of disabilities, the negative effects of stig- through relationships and social interactions
matization, and the importance of identity (Hecht, 1993). This layer focuses on identity
construction, it is vital that an effort be as shaped by how others see one as one’s
made to give voice to the hard of hearing identity is constructed through and influ-
population in order to understand how its enced by one’s relationships with others

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Navigating Between Two Worlds  397

(Urban & Orbe, 2010). Social interaction Hecht, 2004; Urban & Orbe, 2010). Given
shapes individuals and how they define that most hard of hearing individuals
themselves. Further, people often define might experience stigma from both the
themselves on the basis of their relation- hearing community and the Deaf commu-
ships with others (e.g., as a mother, as a nity, how do they, or even do they, experi-
spouse); those relationships even take on ence any sort of communal identity
dyadic identities of their own (Hecht, 1993; surrounding their hearing loss?
Jung & Hecht, 2004). Thus, when hard of Hecht (1993) proposes CTI as a dialecti-
hearing individuals are under consider- cal theory, arguing that the four frames of
ation, how do their relationships and inter- identity might contradict each other as
actions with others influence how they individuals struggle to coordinate their
define themselves (i.e., as Deaf, deaf, hard individual ideas of themselves, their rela-
of hearing, disabled, etc.). tionships (and the influence of those rela-
How individuals define themselves (per- tionships), and their collective identities as
sonal layer) and the relationships that part of a community. Studies examining
shape and influence them (relational layer) identity and identity construction should
are manifested in the third layer of identity, consider these four levels of identity as
the enacted layer (Hecht, 1993). The well as how they overlap, influence one
enacted layer of identity is the identity a another, and compete with and/or comple-
person performs or expresses through ment one another (Drummond & Orbe,
communicative behavior (Jung & Hecht, 2008). Inconsistencies between layers of
2004). This layer is essentially the “front-­ identity can result in identity gaps or rifts
stage self ” (Goffman, 1959)—the identity between the levels of identity. “The four
that one performs. Hecht (1993) explains frames of identity are not always consistent
the enacted layer by stating that “not all with each other. They can be contradictory
messages are about identity, but identity is or exclusive to each other” (Jung & Hecht,
a part of all messages” (p. 79). Thus, the 2004, p. 267). Identity gaps are negatively
enacted frame of identity examines how correlated with feeling understood, com-
individuals both communicate their iden- munication appropriateness and effective-
tity and experience identity through com- ness (Jung & Hecht, 2004), communication
munication as their identity emerges satisfaction, assertiveness, apprehension
through interactions with others (Urban & (Jung, 2007; Kam & Hecht, 2009), educa-
Orbe, 2010). Is the communication of hard tional satisfaction (Wadsworth, Hecht, &
of hearing individuals affected by their Jung, 2008), topic avoidance, and relation-
relationships with others? In what ways? ship satisfaction (Kam & Hecht, 2009).
Furthermore, how does their communica- Becoming familiar with the identity layers
tion with others influence how they define and gaps will advance understanding of the
themselves? hard of hearing population and how its
The fourth and final layer of identity members negotiate their identity as neither
posited by CTI is the communal layer. Deaf nor hearing. Thus, by utilizing CTI,
“This frame locates identity in the group, we aimed in the present study to examine
not the individual or the interaction” the various identity layers experienced by
(Hecht, 1993, p. 80). The communal layer hard of hearing and deaf individuals in
of identity is made up of the collective order to better understand identity con-
identity one possesses as part of a group, struction and negotiation for this popula-
community, or social network (Jung & tion. We posed four research questions:

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398  American Annals of the Deaf, Volume 163, No. 3, 2018

1. In what ways does a hard of hearing relate to her participants’ experiences as


individual identify with individuals in well as share experiences of her own. This
the Deaf world and/or in the hearing enabled the participants to feel more will-
world? (communal layer of CTI) ing to open up about personal experiences
2. What communication difficulties do they might not have otherwise shared with
hard of hearing individuals describe an able-­bodied researcher.
concerning the negotiation of their per-
sonal identity? (enacted layer of CTI) Participants
3. How do hard of hearing individuals
describe the communication difficul- The participants in the present study were
ties they experience with peers and 11 individuals with mild to profound hear-
loved ones? (relational layer of CTI) ing loss. These were the only people who
4. How do hard of hearing individuals responded to the recruitment strategies (as
define themselves? (personal layer detailed later in the present article). Hear-
of CTI) ing loss levels were defined as mild (26–40
dB), moderate (41–55 dB), moderately
Method severe (56–70 dB), severe (71–90 dB), or
profound (91+ dB). In terms of hearing
We used the qualitative method of interac- loss, the sample was distributed as follows:
tive interviewing to explore a hard of hear-
ing individual’s four frames of identity: • profound, n = 1
personal, relational, enacted, and communal • profound (left ear only), n = 1
(see Appendix for interview questions). • severe to profound, n = 4
According to Matthews and Harrington • severe, n = 1
(2000), most research conducted on com- • moderate to severe, n = 3
munication and disabilities is done from the • mild to moderate, n = 1
point of view of an able-­bodied researcher
and is biased by that perspective. Thus, in Because their hearing levels varied,
order to gain a deeper understanding of depending on the pitch of the sound, most
how hard of hearing individuals view iden- of the participants self-­identified as being
tity navigation, it is important that qualita- at more than one level of hearing loss (or as
tive studies be done to examine how they being between two levels).
view their hearing loss. All but 1 participant (the individual with
The use of interactive interviewing profound bilateral deafness) identified as
allows for an in-­depth and intimate under- “hard of hearing” or “hearing impaired,”
standing of people’s experiences as hard of not “deaf.” The participant who identified
hearing individuals. According to Ellis, as “deaf ” clarified that she considers herself
Kiesinger, and Tillmann-­Healy (1997), the physically and biologically “deaf,” not cul-
interactive interview process reflects con- turally “Deaf.” Additionally, of the 11 par-
versations and dialogues in real life (as ticipants, 7 reported wearing hearing aids
opposed to an interrogation) in which one full-­time, 1 reported wearing no hearing
person’s disclosures can invite another per- aids, and 2 reported wearing hearing aids
son’s disclosure. Additionally, it is impor- only in class or at work. The sample con-
tant to note that since the researcher sisted of 5 men and 6 women; all partici-
herself (i.e., the lead author of the present pants were Caucasian. The age range of the
article) has a hearing loss, she was able to participants was 18–60 years (M = 32.2).

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Navigating Between Two Worlds  399

Seven of the participants were students transcriptions. In order to protect partici-


(age range 18–26, M = 20.5); the other 4 pant identity, the recordings and accompa-
ranged in age from 45 to 60 (M = 52.2). All nying transcriptions did not have any
11 participants had been raised in main- identifiable information in them; only gen-
stream hearing society and had lived in it eral demographic data were reported. All
for most of their lives, used oral communi- participants were randomly assigned
cation, and did not have strong ties to the pseudonyms.
Deaf community. Thus, none of these par- Using CTI as a theoretical framework,
ticipants identified as culturally Deaf. Indi- the researcher engaged in a priori coding
viduals who were part of the Deaf to identify each of the four levels of identity
community were not recruited because the present in the transcripts. From there, cat-
present study focused on examining those egories derived from the initial a priori
who were unable to assimilate into either coding were collapsed to produce several
the Deaf world (due to lack of association subthemes within each layer of identity
and/or acceptance) or the hearing world based on repetition of issues or comments
(due to their hearing loss). that emerged across several participant
interviews. Saturation was reached as later
Procedure transcripts failed to provide further theo-
retical categories or subthemes. Finally, all
The present study was conducted by means interview participants were contacted to
of qualitative interviews and was approved engage in member checking. Only three
by the institutional review board of a large participants responded to the follow-­up
public university in the Midwest. In an request in a timely manner (1 week). Pre-
attempt to recruit participants, the liminary results and themes were shared
researcher used advertising and network with these three participants, all of whom
sampling. Five participants were from the agreed with the themes presented by the
researcher’s own family (since her hearing researcher (Creswell, 2013; Lindlof & Tay-
loss is genetic). “Some researchers now lor, 2002).
advocate interviewing peers with whom
one has an already-­established relationship Results
and making use of everyday situations in
which one is involved. Qualitative Personal Layer of Identity
researchers have co-­constructed narratives The personal layer of identity includes
with family and friends” (Ellis et al., 1997, individual thoughts, beliefs, and feelings
p. 161). After signing an informed consent (Hecht, 1993; Drummond & Orbe, 2008).
form, the participants took part in an in-­ In the present study, participants were
person interview that lasted 30–90 minutes asked to reflect on their individual thoughts,
per participant, depending on the amount beliefs, and feelings surrounding their
of detail the participant was willing to pro- hearing loss and how they defined them-
vide. The interviews were recorded, tran- selves so that their personal layer of iden-
scribed, and coded by the researcher. Given tity could be examined. The themes
that all the participants used spoken Eng- identified within the personal layer of
lish as their main form of communication identity included describing hearing loss
and no sign language was used in the inter- and its effect, defining hearing loss as a
views, the interviews were audio-­recorded disability or “handicap,” and thoughts
to ensure the integrity of the interview about gaining “normal” hearing.

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400  American Annals of the Deaf, Volume 163, No. 3, 2018

entiation between handicap and disability


Describing Hearing Loss and Its Effect was echoed by several participants who
When asked how their hearing loss had emphasized that they were not incapable
affected their lives, several participants of “normal” life. Overall, the participants
were unsure how to answer because it was showed no clear consensus on how to
not something they had considered—living define their hearing loss, but they were
with a hearing loss was “normal” to them. adamant about clarifying that their hearing
When the researcher asked Sarah if she saw loss was not something that defined who
her hearing loss as “normal,” she agreed they were.
that it was normal to her because it was all
she has ever known. Renee agreed with this Thoughts Surrounding Gaining
sentiment, explaining, “You know, most of “Normal” Hearing
the time, what I don’t hear, I don’t know To gain insight into how closely the indi-
I’m not hearing. So I don’t really know viduals linked their hearing loss to their
what I’m missing.” Despite this acceptance identity, the researcher asked whether they
of hearing loss as being part of who they would take “normal” hearing if it were
were, several participants emphasized the magically offered to them (without surgery,
importance of not being labeled only as costs, etc.). Andrew stated that he would
deaf or hard of hearing. Ashley summed it not give up his hearing loss. As he
up by stating, “I don’t want to be labeled . . . explained, “I feel like my hearing impair-
I don’t want people to be like that’s the deaf ment has taught me much about being a
girl. I don’t want to have that label. I want better person and overcoming challenges.”
people to see me apart from that.” Thus, the Ashley agreed with this sentiment: “It’s a
participants didn’t see their hearing loss as part of who I am. . . . It’s made me who I
something that defined them or their iden- am. And if anything, it makes me a more
tity; it was just a normal part of their lives. well-­rounded person. So I think I’d say no
[to the offer of ‘normal’ hearing].” Thus,
Defining Hearing Loss as a “Disability” while hearing loss was not something that
or “Handicap” defined the participants, it was a vital part
When the participants were asked if they of who they were, as many of them felt as
saw their hearing loss as a “disability” or though it played a role in shaping their
“handicap,” the researcher received a vari- identity.
ety of answers. Sarah, who had the most
severe hearing loss of all the participants, Relational Layer of Identity
did not consider it either a “disability” or a
“handicap”: “I can do anything a hearing The second layer of CTI, the relational
person can.” Shawn shared this sentiment, layer of identity, is based on interactions
stating that he labeled his hearing loss as with others and how those interactions
more of a “setback” he had to overcome influence identities (Hecht, 1993; Drum-
than a “disability.” Renee said that her mond & Orbe, 2008). To examine this
hearing loss was a disability, but not a layer of identity, the researcher asked the
“handicap,” because “it is not preventing participants to reflect on the interactions
me from doing anything. I can walk, I can they had with others, particularly interac-
talk, I can watch TV—I just use subtitles, I tions related to or involving their hearing
can listen to music—I just increase the vol- loss, and any communication difficulties
ume. There’s nothing I can’t do.” This differ- they might have experienced related to

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Navigating Between Two Worlds  401

their hearing loss and interacting with feel stupid. And that is the biggest thing—is
others. The themes within the relational that you are made to feel inadequate or stu-
layer of identity include negative commu- pid. People think that if you are hearing
nication interactions, the challenges of impaired, you’re stupid . . . you’re dumb.”
group social situations, and the burden of Several participants stated that their
proof many individuals with hearing loss hearing loss could lead to embarrassing or
face as they navigate interactions with hard-­to-­navigate situations. Morgan noted,
others. “It can be embarrassing at times because
sometimes you are put in a position where
Negative Communication Interactions you answer a question you thought was
Several participants highlighted the nega- asked and it wasn’t. You know, there you
tive reactions they had received when hear- are looking like a total idiot.” This difficulty
ing individuals seemed unsure of how to with navigating certain situations when the
communicate with them appropriately. participant did not hear something but did
Sarah explained that she avoided individu- not want to bring it to others’ attention was
als who talked to her either really loudly or also discussed by Andrew, Shawn, and
slowly because of the negativity of these Ashley as they explained the use of the
communication tactics. Yelling was also “nod and smile” tactic: You nod along and
highlighted by Shawn as a negative reac- smile like you understand when you really
tion that would offend him: “When people do not. The participants stated that this
are talking at a regular volume to some- tactic, while used often to save face, could
body else and then turn to me and start be risky; for example, they described
shouting, I don’t like that. I don’t like auto- answering questions awkwardly or walking
matically being treated differently.” When out of a classroom with no idea what the
discussing negative interactions in one-­to-­ assignment was.
one situations with a hearing person, Sarah Another negative reaction several par-
explained the difficulties involved in telling ticipants touched on during their inter-
a new acquaintance that she was hard of views was the use of “never mind” or the
hearing: refusal of other people to repeat them-
selves. Ben explained, “To me that’s an
They say, “Oh, I’m sorry,” and then they insult when you say to a deaf person ‘never
won’t talk to you anymore. That’s because mind.’ ” Andrew also identified this as a
they’ve never been around [a hard of hear- negative reaction that he got from hearing
ing person], and it scares them—they don’t individuals:
know how to. So they just walk away from
me like I’m some dummy or something. The worst that can really make me mad
beyond points of repair is “forget about it”
Being considered less intelligent or being or “don’t worry about it” or “never mind.”
labeled “deaf and dumb” was a stigma that I’m just, like, repeat it one more time, just
was brought up in several interviews. Renee one more. They will say it doesn’t even mat-
highlighted it when she stated that she had ter. Well, let me decide if it matters or not.
experienced situations in which “a hearing They decide for you what is important for
person will talk to me like I have a mental you to hear.
handicap rather than a hearing impair-
ment.” In expanding on this negative stereo- Overall, the participants reported a range
type, Morgan stated, “I hate to be made to of negative reactions to their hearing loss

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402  American Annals of the Deaf, Volume 163, No. 3, 2018

that included altered communication, to enjoyable social situations, making them


avoidance, being perceived as less intelli- stressful and perhaps best avoided
gent, being embarrassed, and experiencing altogether.
a loss of autonomy. Individuals with hear-
ing loss have to balance these potential Burden of Proof
negative responses against the benefits of Facing a “burden of proof ” was discussed
disclosing their hearing loss (e.g., in order by several participants in the context of
to get important information or needed hearing loss as an invisible disability. When
accommodations) as they navigate their dealing with his hearing loss with col-
identity as a hard of hearing individual. leagues in the workplace, Will said he often
faced a “burden of proof ”: “They think I
Challenges of Group Social Situations select my hearing and I don’t hear when I
The difficulty involved in navigating don’t want to hear.” Nick also identified this
group situations was a theme several par- issue in his description of an event in
ticipants discussed during the interviews. which a coach thought that he was ignor-
Renee described the challenge of commu- ing him: “He thought I was ignoring him,
nicating in a group situation and how this but I just didn’t hear what he said.” When
affected her communicative behavior: “If Nick explained that he was hard of hearing,
I’m with a group of people, I miss a lot of the coach did not believe him: “He didn’t
conversation, and I know I do, so I’m qui- believe me. He thought I was being
eter.” The struggle was further explained sarcastic.”
by Andrew: “In group settings when it is In addition to having to “prove” the
really hard because you can’t look at presence of a hearing loss, hard of hearing
everyone at once and the conversation individuals also might have to face ques-
goes around, I’m like, what did I really tioning surrounding the extent of that
miss? Did I miss something important?” hearing loss, particularly if the individual
This concern or worry about missing wears hearing aids. Will highlighted this in
things was conveyed by seven other par- his discussion of understanding (or the
ticipants as one of their major concerns lack thereof) when it came to the distinc-
when they were communicating with tion between hearing noise and making
hearing individuals. Morgan said, sense of it:

It is difficult to participate in a group con- A lot of people don’t understand there’s two
versation because you miss so much because ways of hearing. Yeah, you can hear noise,
everyone is talking and you can’t read lips but you have to know what’s going on to
from everybody at once. And if they don’t understand what they are saying. Oh man,
know, they won’t accommodate that, and a sometimes people just don’t get it. Or maybe
lot of times, even if they do know, they don’t they don’t want to get it. And they think that
accommodate it because they can’t identify because I have hearing aids it fixes every-
with that. It can be very frustrating, thing. That’s wrong. They don’t fix it. I have
demeaning . . . it can make you feel stupid. nerve loss. It just makes everything louder—
doesn’t make it so I can understand. It’s not
Generally, group social situations are chal- the same as normal hearing.
lenging for individuals with hearing loss as
the spontaneous conversation and lack of Getting hearing aids might only cause
accommodation can function as obstacles additional challenges, as participants

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Navigating Between Two Worlds  403

reported that wearing hearing aids can (Drummond & Orbe, 2008; Hecht, 1993).
actually prompt further questioning. Given To explore how participants in the present
that hearing individuals often view hearing study chose to enact their identity (or not)
aids as a “cure-­all” for hearing loss, wearing as hard of hearing individuals, they were
them can prompt hearing individuals to asked to discuss how they expressed or
doubt hearing-­aid users when they say they communicated about their hearing loss,
did not hear something. Will explained including any challenges in negotiating
that his hearing aids might amplify things that component of their identity. The five
for him, but they did not give him “nor- subthemes that were identified within par-
mal” hearing—there were still issues with ticipants’ enacted identities, explored fur-
clarity. Ben supported this view by clarify- ther below, are (a) doing nothing differently
ing the difference between hearing and despite the hearing loss, (b) being hard of
understanding: “Hearing noise is one hearing in the school or workplace, (c) dis-
thing, but understanding what you heard is closing the hearing loss, (d) dealing with
another thing.” Additionally, Morgan dis- stigma, and (e) using humor.
cussed how her boss had been pressuring
her to get hearing aids, but that she wor- Doing Nothing Different Despite
ried because she knew that getting them the Hearing Loss
would not “cure” the problem: “He thinks In discussing how they navigated their
that by me getting a hearing aid, I’m going hearing loss on a daily basis, several partic-
to be perfect. That is going to be another ipants highlighted the fact that they did not
challenge, to explain that just because I feel that they needed to do anything differ-
have a hearing aid, I’m not going to hear ently than a hearing person. Sarah dis-
like he hears.” cussed how she did not let her profound
Thus, even after hard of hearing individ- hearing loss stop her from doing anything
uals makes the difficult decision to disclose a hearing person could do, even if the
their hearing loss, they may then face fur- activity requires hearing, such as using a
ther questioning surrounding the legiti- drive-­through. Will also reported not let-
macy of that hearing loss, making the ting his hearing loss guide what activities
disclosure process potentially even more he could participate in. Thus, participants
uncomfortable or challenging and adding a often enacted their hard of hearing identity
cumbersome layer to negotiating their in the same manner as someone with “nor-
identity with others. In addition to the bur- mal” hearing, highlighting that they did
den of proof surrounding having a hearing not see their hearing loss as a defining
loss, hearing-­aid users may also have to characteristic of who they were.
educate the non–hard of hearing person on
the extent of the hearing loss and the func- Being Hard of Hearing in the School
tion of hearing aids, a process that adds or Workplace
further to the burden of negotiating their Several participants highlighted the obsta-
personal identity. cles and stigma they faced when navigating
school or employment with their hearing
Enacted Layer of Identity loss. In discussing school and life in gen-
eral prior to college, Andrew stated, “Grade
People’s expressions of identity, or the way school and high school were hell. I’m not
they choose to enact their identity, consti- going to lie. They were hell.” He went on to
tute the third layer identified in CTI explain that the teachers were not skilled at

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404  American Annals of the Deaf, Volume 163, No. 3, 2018

working with a student with a hearing loss, in school or work, the participants often
and this made his academic career difficult. emphasized finding ways “around” their
Despite the accommodations he was now hearing loss in order to lead their lives as
receiving in college, Andrew highlighted “normally” as possible and/or avoid being
the fact that he had to do double the work the object of the stigmatizing attitudes of
of most hearing students because he had others.
to not only attend class but spend time
outside of class re-­reading the transcripts Disclosing the Hearing Loss
of what was said in class that were provided Disclosure was an issue that was addressed
to him. differently by each of the participants. Mor-
In describing how they did (or did not) gan and Sarah explained that they preferred
express their hearing loss, several partici- to talk to the other person for a while
pants also discussed difficulties in the before disclosing their hearing loss. Sarah
workplace. Sarah described how she did explained further: “I do that on purpose
not tell her employer about her hearing because I want them to know, just because
loss until after he had hired her because of I am deaf, I can still communicate with
the worry that he would dismiss her right them.” Ben, Nick, and Lexi also discussed
away: “They think, ‘They can’t do it—it’s a how they put off disclosure until it becomes
deaf person—we don’t want to deal with absolutely necessary. Ashley described dis-
that.’ Or, ‘I don’t want to take the time with closure as the “worst part” of a beginning of
that person because she’s deaf.’ ” Will a relationship, as past experiences in which
echoed this concern when he stated that disclosure had caused others to avoid her
his biggest worry was about losing his job: had made her wary: “[Hearing peers are]
“I’m worried if I ever lost my job, I’m like, ‘Eehhhh . . . disabilities?’ And they
screwed. Because society today . . . if you back off.”
ever lost your job and with my hearing and In discussing the choice of whether or
something like that, I’m not going to get not to disclose, Renee explained that she
rehired.” Even once hired, participants avoided disclosure at first because she did
stated that they continued to face issues. not want others to immediately identify
Morgan described how even though her her in connection with her hearing loss:
boss knew she was hard of hearing, he “I don’t want their first impression of me
could be very unaccommodating and to be that’s the girl with the hearing loss. I
rudely blunt about her hearing loss. She want them to know me for me. Yeah, that’s
explained, “It makes you feel very small. part of who I am, but that’s not who I am.”
And it’s very degrading. It makes you feel Beth also stressed that she wanted the
stupid.” She went on later to say, “The thing hearing person to realize that she was not
is, he doesn’t understand. He has no idea any different once the hearing person knew
what it is like.” Furthermore, participants about her hearing loss: “I am still the same
reported relying on technology to work girl that you knew before.” Andrew touched
around their hearing loss, often using writ- on this issue as well as he explained the dif-
ten forms of communication such as e‑mail. ference between being identified as the
Ben even reported the use of instant mes- “deaf student” and being recognized as the
saging in meetings as a behind-­the-­scenes “student who happened to have a hearing
way to ask others about what he had loss.” Shawn emphasized, “I don’t want
missed. Even if it posed certain challenges people to meet the deaf guy. I want them to

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Navigating Between Two Worlds  405

meet me.” Thus, disclosing their hearing


loss is a dilemma that individuals with Using Humor
hearing loss may face as they interact with Several participants mentioned using
others, often having to decide between humor to deal with the disclosure process
avoiding stigma and making sure they get and stigma. Renee said “I get the good
the accommodations they need to follow scoop sometimes” as she joked about the
along. advantages of being able to read lips.
Andrew laughed as he talked about how
Dealing With Stigma getting hearing aids can be an adjustment
In dealing with stigma, the participants dis- when you are startled by the fact that
cussed several different strategies. Sarah something like paper makes so much noise
stated that she usually let it go unless some- or that the turn signal in a car is so annoy-
one said something rude or mean. Renee ing. Shawn joked about having to “buy one
stated that being on offense was one way she of his senses” when he had to go purchase
dealt with stigma and people who “saw batteries for his hearing aids: “Whenever
themselves as better than me because of [the one of my batteries goes out, I have to go
hearing loss] and they thought it would be a out and pick up what everyone else has
good idea to rub it in my face.” She said that already . . . just implanted in their head.”
due to her aggressive, outgoing personality Andrew drove home the importance of
and the fact that her “opinions intimidated using humor as a coping mechanism when
people . . . [they] knew better than to say he stated, “You have to laugh and make fun
anything” to her. On the other hand, Will of it sometimes. If you take your disability
and Andrew talked about dealing with seriously all the time, you would die by the
stigma in a more passive way. Will stated, time you were 30 from the stress of dealing
“If they don’t want to talk to me, what am I with it.”
going to do? If you can’t deal with people Despite the positive use of humor, sev-
the right way, then don’t talk to me.” Will eral participants mentioned that there was
also said he quit wearing his hearing aids a line when it came to humor—there was a
for a while when he was younger because point at which it was not appropriate any-
they highlighted his hearing loss and caused more. Andrew stated, “Jokes can be a sensi-
others to pick on him. Similarly, Renee tive subject. I don’t mind joking about my
described how she faced ridicule because of hearing, but it kind of depends on the per-
her hearing aids and eventually quit wearing son. There is definitely a line between what
them: “I was made fun of, of course, for my is OK to joke about and what is not.” Echo-
hearing aids when they were in, so I took ing this sentiment, Shawn said,
them out, or if I wore them, I wore my hair
down.” Many participants reported that fac- There’s a difference between joking around
ing stigma was a major communication and being malicious. You don’t want some-
challenge in managing their identity as a one to be malicious toward you . . . they can
hard of hearing individual. Further, they get in your head. As positive as you are, peo-
talked about how that fear of stigmatization ple can be mean, and they can use [the hear-
often altered the way they communicated ing loss] to make you look bad or make you
about their hearing loss or what information feel bad. I’m positive about it and I’ll make
they chose to share with others, essentially jokes about it, but if you’re using me as a vic-
altering their enacted identity. tim and categorizing me as a weakling or a

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406  American Annals of the Deaf, Volume 163, No. 3, 2018

handicapped person or something, I’m not though I was one of them more or less.”
going to be happy. Shawn stated that he had no problem with
the Deaf community, but he did not con-
Overall, humor provided many participants sider himself part of it: “There’s nothing
with a way to have fun with or be positive against the Deaf community and stuff, but
about their hearing loss in an effort to com- I’d rather be a deaf . . . like a person who
bat stigmatization. happens to be deaf. Like a person with
glasses, but my ‘glasses’ just happen to be
Communal Layer of Identity on my ears.”
Ben expanded further on the disconnect
The last layer of identity proposed by CTI between the Deaf community and hard of
is the communal layer. The communal level hearing individuals who grow up learning
of identity extends to consider the groups to speak instead of sign. He said that the
to which people belong that influence their Deaf community is “a culture, and they
identity through collective beliefs, rituals, don’t associate with the hearing world.” He
and practices (Drummond & Orbe, 2008; talked about how the Deaf community
Hecht, 1993). The study participants were considers it as disrespectful to Deaf culture
asked to reflect on the communities and when a hard of hearing person grows up
groups with which they identified (or not) without learning to sign. However, Ben
in order to examine this layer of identity. explained why he viewed that issue differ-
The main theme that arose from explora- ently: “It has nothing to do with respect. It’s
tion of the participants’ communal layer of just your life is so much easier when you
identity, or their social identity, concerned understand someone who speaks.” This
their connection (or lack thereof) to the statement showcases the clear divide
Deaf community. between the Deaf community and its cul-
tural values and the hard of hearing indi-
The Deaf Community
viduals in the present study.
When examining their connection to the
Deaf community and whether it was a Not Fitting Into Either World
source of support from other individuals The lack of communal identity the hard of
with hearing loss, many participants dis- hearing individuals in the present study
cussed the separation and exclusion they reported can create a feeling of isolation
felt from this community. Ben, the partici- because people who are hard of hearing do
pant who reported the most involvement not “fit into” either the hearing world or the
with the Deaf community, described a feel- culturally Deaf community. Several partici-
ing of disconnect from it that several other pants did have family members with hearing
participants also identified: “They’ll single loss, and they reported leaning heavily on
you out because even though you’re hear- those family members for support and to
ing impaired, you grew up in the hearing have someone to relate to. However, this is
world. They’ll say, ‘Oh, he’s a hearing world not the norm—most children who are deaf
person.’ Most of the Deaf people I know, a or hard of hearing are born to hearing fami-
lot of them single me out.” Renee also dis- lies and may not meet or know anyone else
cussed this feeling of exclusion from the with a hearing loss (Peters, 2000). Andrew
Deaf community as she explained how she stated that he had no friends his own age
felt when she attempted to participate in a with a hearing loss until he accidentally met
Deaf event: “I felt like an outsider even someone at college. He stated that meeting

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Navigating Between Two Worlds  407

her “was like a fairy tale. I’ve never known they navigate their interactions with others
someone my own age with a hearing loss, so (relational layer of identity) and the way in
it was so cool to find someone to finally which they express their identity (enacted
relate to.” Finding someone to relate to can layer of identity). The struggle that partici-
be challenging for individuals with hearing pants identified in aligning the various lay-
loss, especially if there are no family mem- ers of their identity indicated the presence
bers who are in a similar situation (which is of identity gaps between the personal and
often the case). Since there are often no relational layers of identity, the personal
family ties to a cultural group of others like and enacted layers of identity, and the per-
them and family is a major way most of us sonal and communal layers of identity
learn cultural values or gain access to cul- (Drummond & Orbe, 2008).
tural groups, the participants struggled to The identity gap between the personal
develop a communal identity related to their and relational layers of identity seemed to
hearing loss. be based on participants’ attempts to man-
age or avoid negative reactions from others
Discussion upon disclosing their hearing loss, as well
as concerns surrounding social interactions
In attempting to construct an identity because of their hearing loss. Therefore,
within a hearing world that considers them while all the participants viewed hearing
to be “disabled” or even “deaf and dumb,” loss as a part of who they were (personal
many of the participants in the present layer), they often felt that the hearing loss
study emphasized the challenges they faced interfered with their relational layer of
surrounding the navigation of their hear- identity since it made it challenging to
ing loss. Despite these challenges, most of interact with others and placed them at
the participants stated that they would not risk of stigmatization. Given that identity
give up their hearing loss if they were gaps in and of themselves are negatively
granted the opportunity to have “normal” correlated with communication satisfac-
hearing. Their hearing loss was too much a tion, the feeling of being understood, and
part of who they were; it was too central to relationship satisfaction (Jung, 2007; Jung
their personal layer of identity (Drum- & Hecht, 2004; Kam & Hecht, 2009), stig-
mond & Orbe, 2008; Hecht, 1993). Further, matizing disabilities such as hearing loss
their hearing loss was not only identified as might pose additional challenges in inter-
a part of who they were—several partici- acting with others and potentially be isolat-
pants went on to describe how their hear- ing. The stigma surrounding having a
ing loss had shaped them as a whole “disability” could act as the cause of an
person, making them stronger and more identity gap for individuals among this
capable of overcoming challenges. population and also worsen the effect of
Although several participants stated that the identity gap itself. Further research that
their hearing loss was a part of who they focuses on populations with disabilities
were (personal layer of identity), they also needs to be conducted to examine the rela-
said they did not want to be labeled “as the tionship between stigma and identity gaps.
deaf boy or deaf girl.” This juxtaposition of Another gap in the identity layers dis-
having a hard of hearing identity while still played by the study participants was
attempting to avoid being labeled as “dis- between their personal identity as hard
abled” or “incapable” creates a unique of hearing individuals and how they
struggle for hard of hearing individuals as expressed that identity (enacted layer).

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408  American Annals of the Deaf, Volume 163, No. 3, 2018

The participants reported ways in which might be detrimental to their self-­esteem


they got “around” their hearing loss and or self-­worth (Charmaz, 1991; Goffman,
attempted to live as “normally” as possi- 1959). Given the negative impact both
ble, avoiding disclosure about their hear- stigma and identity gaps can have on indi-
ing loss, in order to avoid stigmatization. viduals, further research should be done to
Fear of stigmatization altered the way they examine identity gaps in other stigmatized
communicated about their hearing loss populations as well as stigma’s relationship
(enacted identity) and the information to identity gaps.
they were willing to share, with one con- A final gap identified among the partici-
sequence often being a lack of accommo- pants was that between their personal
dations. Thus, even though individuals identity as hard of hearing and their com-
personally identified as hard of hearing, munal identity (social identity). Partici-
this often was not the identity they chose pants reported an overwhelming sense
to enact. There was a tension between the of a lack of communal identity since they
enacted layer of identity (asking for felt they could not fit in completely with
accommodations or disclosing) and the either the Deaf community or the hearing
personal layer of identity (avoiding being world—they fell somewhere in between.
labeled as the “deaf person”) that had to Many participants explained the inability
be managed. to fit into the hearing world by discussing
Again, there seems to be a relationship hearing individuals’ inability to identify
between stigma and identity gaps for peo- with what it is like to be hard of hearing:
ple who are hard of hearing and, poten- They do not get what it’s like to be hard of
tially, for other populations dealing with hearing because they have not experienced
disability or stigmatization. Stigma may it. Further, general communication obsta-
complicate identity construction due to cles, along with the stigmatizing label of
the inherent “choice” individuals with being “disabled,” prevent assimilation into
invisible disabilities must make surround- the hearing world and perpetuate this feel-
ing whether they disclose their disability ing of disconnect experienced by individu-
(and personal identity), which can put als with hearing loss. In addition to feeling
them at risk of being stigmatized. This disconnected from the hearing world, par-
decision whether or not to disclose seems ticipants shared that they also felt sepa-
to add a layer of complexity to identity rated from the Deaf community. This
navigation for hard of hearing individuals inability to connect to the Deaf community
as they struggle to maintain pride in their stemmed from several factors: feelings of
personal identity while simultaneously being unwelcome, an inability to commu-
attempting to hide a component of that nicate (ASL vs. oral communication), dif-
identity in order to avoid stigma. However, ferent cultural values, and feelings of being
this attempt to avoid stigma can be prob- an outsider despite having a hearing loss in
lematic, as it might force individuals with common. Between the difficult effort to fit
disabilities to forgo accommodations into the hearing world and the disconnect
(Grosjean, 2010; Najarian, 2008; Reagan, from the Deaf community, the participants
2002), even if it means not doing as well in struggled to find any clear communal iden-
a class or being as successful in the work- tity that supported their personal identity
place. Additionally, over time, individuals as hard of hearing individuals.
might internalize the social stigma sur- Future research could examine other
rounding their disability in a way that populations of people with disabilities and

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Navigating Between Two Worlds  409

the presence of communal identities for Another limitation relating to the sam-
individuals within those populations. ple is that a majority of the participants (7
Future research should also examine the out of 11) reported having family members
ways in which communal identity might be with a hearing loss. It is important to note
related to social support, particularly for that this is not the norm: Fully 95% of chil-
people with disabilities and people who are dren who are deaf or hard of hearing have
stigmatized. Social support or access to a hearing parents (Mitchell & Karchmer,
community of support surrounding the 2004). Hard of hearing individuals who do
personal layer of identity as an individual not have a family network may have more
with a disability might be a critical compo- difficulty constructing an identity or find-
nent of helping such individuals cope with ing support. Additionally, many of the
stigma, isolation, or feelings of low self-­ study participants reported having limited
esteem or depression related to their dis- access (if any) to friends or other individu-
ability (Charmaz, 1991). Examining ways als outside their family who were hard of
in which doctors, physical therapists, hearing. Thus, individuals without this
teachers, and others involved with individ- family connection may have no social sup-
uals with disabilities can facilitate commu- port at all.
nal connections might be key in helping The sample size was limited as well. As
them reconcile their personal identity as hearing loss is often an “invisible disability”
individuals with a disability with a com- (Matthews & Harrington, 2000), many
munal identity. individuals choose not to disclose their
hearing loss in order to avoid stigma;
Conclusion therefore, many potential participants
might not have been comfortable stepping
It is important to make note of several forward to participate in the present study.
limitations of the present study relating to In addition, the 11 individuals who did
the composition of the sample. All of the step forward seemed to have positive atti-
participants had had their hearing loss tudes and effective coping mechanisms,
since birth or infancy. The fact that they which might not be the case with individu-
had never had to live as hearing individu- als who were not participants in the study.
als and had never experienced what it is It might be that those who did not step for-
like to hear normally might have affected ward had more negative attitudes and were
their outlooks on their hearing loss as unwilling to talk about their hearing loss.
well as how they constructed their iden- Future research should consider hard of
tity. The construction of an identity hearing individuals who are less willing to
as a hard of hearing individual is most step forward to see if there are differences
likely a completely different process for in their identity construction.
people who lose their hearing later in life The use of interactive interviewing
and can remember what it is like to have helped free the present study from an able-­
normal hearing. Thus, future research bodied bias and thus gave a voice to the
should investigate the differences between hard of hearing population. Shawn empha-
these two populations of hard of hearing sized the fact that hearing researchers and
individuals and how the timing of the doctors are “on the outside looking in.”
onset of hearing loss can affect identity Sarah echoed the need for giving individu-
construction and the potential for identity als with hearing loss a voice because “the
gaps. doctors do not understand because they do

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19197-AAD163.3.indd 409 7/30/18 12:16 PM
410  American Annals of the Deaf, Volume 163, No. 3, 2018

not go through what we do. They can’t Charmaz, K. (1991). Disclosing illness. In Good days,
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Drummond, D., & Orbe, M. (2008, November).
and the Deaf world. Thus, they had to navi- Complexities of identity: Contemporary struggles
gate hearing loss within a hearing world of multiple identity gaps. Paper presented at the
without true ties to either their hard of hear- annual meeting of the National Communication
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412  American Annals of the Deaf, Volume 163, No. 3, 2018

Appendix

Interview Questions

1. How long have you had a hearing loss? About how old were you when your
hearing became impaired?
A. If you don’t mind my asking, how did it happen?
2. Do you consider yourself part of the Deaf community?
A. If so, how much do you participate in that community?
B. If so, how important is it to you to be part of the Deaf community?
3. Describe any experiences you have had with the Deaf community or any
Deaf events.
A. Were these experiences positive or negative?
1. If positive, how?
2. If negative, how?
4. Are many (if any) of your friends and family members deaf or hearing
impaired?
A. If any, are they part of the Deaf community?
1. How much do they participate in the Deaf community?
2. How important is being part of the Deaf community to them?
5. Describe your hearing impairment and its effect on your life as a whole.
A. Do you consider your hearing loss to be a handicap? Why or why not?
6. Describe the differences you have experienced in communicating with a
deaf individual versus communicating with a hearing individual.
A. Who was this individual?
B. How often do you interact with this person?
C. If hearing, are they typically accommodating or nonaccommodating to
your hearing differences?
7. Do you typically disclose about your hearing impairment with people that
you meet for the first time?
A. If so, how do you typically go about that disclosure process?
1. Describe an instance where you had to disclose about your hearing
impairment to a hearing individual.
a. How did they respond?
b. Were they positive, negative, or indifferent in their response?
8. How do you talk (if at all) to friends and family members about your com-
munication difficulties or need for accommodation due to your hearing
impairment?
A. Are they helpful? If so, how?
B. Are they not helpful? If not helpful, how do they make things more
difficult?
9. Describe how you navigate your hearing impairment in day-­to-­day activities/
work/life.
10. What are the biggest fears/concerns/worries you face when taking part in a
communicative interaction with hearing individuals? How do you navigate
those?

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