Most social work caseloads include some people who ave deaf or hard-of
-heaving, yet few social workers ave attuned to the different and subt
le ways in which heaving impairment can affect identity and relationsh
ips. People with hearing impairment make many self-defining choices-of
communication method; language; and social, cultural, and political a
llegiance. Using information collected during a three-year research st
udy of people with acquired heaving loss, this article defines and des
cribes the complex and interrelated dimensions involved in assessing a
nd serving people who are deaf or heaving impaired.