Familias Funcionales o Nutritivas

Major sources of stress, such as a death or divorce, problems in family relationships, job loss, school, and substance abuse, can trigger or aggravate some mental disorders in some people. but not everyone who goes through those things develops a mental illness

The answer is b. increased blood flow reduces nerve sensitivity

Well, l think that some effective communication is, emotional barriers and lack of attention, interest distraction or irrelevance. also some physical disabilities such as hearing problems or speech difficulties.      l hope i am correct  and you good luck.