Social and cultural interactions of a person as generators of psychosocial stress. The interactions of the social and cultural environments with the person can produce diseases. The intensity of social and cultural stressors or their reiteration can undermine the resilience or resistance of a person, making him/her vulnerable. Psychosocial stress can generate a series of audiovestibular symptoms through the pathogenic mechanism of ischaemia (sudden deafness, Ménière disease, benign paroxysmal positional vertigo, tinnitus, and hyperacusis).