Karen Was Sexually Abused During Her Childhood by Her Uncle

Karen was sexually abused during her childhood by her uncle. As a result, she develops negative attitudes toward sex and finds it hard to get emotionally attached to anyone. Though she desires to have sex, she avoids engaging in sexual activities thinking that it is bad. Which of the following psychological causes of sexual function difficulties does this scenario exemplify?

A) conflict within the self
B) ineffective sexual behavior
C) sexual anxieties
D) fatigue and stress