Other, less likely possibilities include:
* Faulty blower motor switch: While less common than a bad resistor, a problem with the switch itself could prevent lower speeds from being selected.
* Wiring issues: A short, break, or loose connection in the wiring harness between the switch, resistor, and blower motor could disrupt the lower speed circuits.
* Blower motor failure (less likely): While the motor itself can fail, it's more likely to result in complete failure rather than just a high-speed-only issue. However, internal winding issues *could* cause this, but again, resistor failure is far more probable.
In summary: The most probable cause is a bad blower motor resistor. Diagnosing the specific problem would involve testing the resistor, wiring, and switch using a multimeter. If you're not comfortable with automotive electrical work, it's best to take your van to a qualified mechanic.