Question: When Hughes is scrubbing his hands so hard that he cuts them, what exactly causes them to be cut? Is it something in the soap, or his fingernails? I wouldn't think, his being a man, that his nails would be long enough to do any damage, at least not to the extent shown.
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Chosen answer: Hughes has obsessive compulsive disorder. He washes his hands so often, and so intensely, that he's literally worn away his skin. This is common with OCD sufferers.