According to Helen Singer Kaplan, immediate causes must interact with remote causes to produce a sexual dysfunction. Which of the following is a remote cause?

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Unresolved guilt about sex is a remote cause because it is a long-standing issue that developed over time and may be the result of cultural or religious conditioning. Remote causes are typically deep-rooted psychological or emotional issues that contribute to sexual dysfunctions. Performance anxiety, lack of effective communication, and poor sexual technique are immediate causes because they are situational factors that can trigger a sexual dysfunction.

According to Helen Singer Kaplan, Immediate Causes Must Interact with Remote