The Puritan "ethic" is primarily responsible for American's neurotic to sociopathic behavior when it comes to issues of sex, normal body function (i.e. voiding, mensuration, etc) , skin (i.e. nudity, whether "innocent", sexually oriented, "accidental glimpse, etc, etc), reproduction, etc.
These taboos, ingrained so deeply in our culture and psyche, have poisoned generation after generation, have lead to obsessions with pornography, and deny many absolutely normal body functions necessary to daily life.
It is any wonder we're screwed up?
The american traits of both obsession AND denial of pornography is one of the best examples. IMO, the PE is also directly responsible for our sex crimes rate, approx 38/100K, while in Europe, where nudity is the norm in "family" publications and TV, where pornography is accepted "art" form and prostitution is an condoned, visible profession, the "adjusted" sex crime rate is 9/100k.
While we owe much of the good in this country to the foundation set by the Puritan ethic, (IMO) this mental illnesses gifted upon us by the PE FAR, FAR out weigh the good.