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A 20-year-old warehouse worker has spent five hours a day washing since he handled a leaking drum of solvent three months ago. He is certain he will poison his family and has stopped cooking for them. Asked whether the contamination is real, he says he knows it probably is not, but he cannot take the chance. He hears no voices and does not feel that his thoughts are inserted or controlled. His mother had a lifelong handwashing routine. He remains well kempt and is still working. Which one of the following best explains his presentation?
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Keep going — a set of ten like this one, one at a time.

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