Karen was abused by her father at the age of 5. At age 5, she developed a severe separation anxiety reaction whenever her mother tried to leave. As an adult, Karen developed a dissociative disorder due to the same abuse. This is an example of how the same factor, in this case, abuse, can be

both a proximal and a distal causal factor

Explanation:

Etiology as the causal pattern of an abnormal behavior. There are many causal patterns of abnormal behavior. They includes:

A proximal causal factors is that causal factors that operate shortly before the symptoms of a disorder actually occurs. A rushing disappointment at workplace is a proximal causal factor of depression.

Distal causal factors is simply that causal factors that happens mostly early in life but may not show their effects for many years. It may add to a predisposition to develop a disorder An example is when an individual loss of parent early in life.

is there a answer choice?

answer is b shrapnel injuries