This convention has been widely adopted within the culture and the scholarly literature in English, and to some extent in other languages. The two terms are also widely used to refer to distinct but partially overlapping groups of people: deaf people (those with significant hearing loss) vs. Deaf people (those who identify with Deaf culture and use a sign language as a primary means of communication). Not everyone makes this distinction, however; some point out that there are many ways to be "deaf" and a simple two-way distinction is too confining.