" Along the way, I learned some things. One thing I learned was that even though most people thought their problem was about sex, it rarely was. More often it was a problem with knowing how to relax, how to attend to their sensation, or how to respect and accept their desires.
They had trouble knowing how to be vulnerable, playful, or generous, or how to set limits. They had trouble receiving, or even knowing what it meant, and trouble giving and knowing what that meant. These things are much more fundamental, but because difficulty with them feels so normal, people often didn’t notice them until sex was involved, so they thought it was about the sex. Far more often it was a challenge with these more basic skills. "

― Betty Martin , The Art of Receiving and Giving: The Wheel of Consent