Mysophobia is a term used to describe a pathological fear of contact with dirt, to avoid contamination and germs. Someone who has such a fear is referred to as a mysophobe. The term was introduced by Dr. William Alexander Hammond in 1879 when describing a case of obsessive-compulsive disorder (OCD) exhibited in repeatedly washing one's hands. This phobia is sometimes referred to as germophobia or germaphobia, a combination of germ and phobia to mean fear of germs, as well as bacillophobia and bacteriophobia. Mysophobia has long been related to the OCD of constantly washing one's hands. However, Harry Stack Sullivan, an American psychologist and psychoanalyst, notes that while fear of dirt underlies the compulsion of a person with this kind of OCD, his or her mental state is not about germs; instead, this person feels the hands must be washed. Other names for abnormal persistent fear of dirt and filth include molysmophobia or molysomophobia, rhypophobia, and rupophobia.
Though mysophobia and OCD are often linked, they are not necessarily connected. A mysophobe will wash their hands repeatedly to rid the germs, while a person with only OCD will wash obsessively because they feel as though it is necessary to maintain order in their life.
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