 Under the perspective that deafness is an impairment, the inability to hear interferes with a person’s ability to respond to environmental cues, to communicate, and to enjoy aspects of mainstream culture such as music.People who experience hearing loss after acquiring a mastery of spoken language as well as those who are hard-of-hearing commonly identify with this model.Within the medical model deafness is conceptualized from a "personal tragedy" stance, indicating that it should be avoided, eradicated, or normalized by all possible means.