Hoarding and scrupulous OCD are part of the Obsessive-Compulsive and Related Disorders, which are characterized by obsessional preoccupation and ritualistic behavior. Prior research has found a statistical relationship between hoarding and scrupulosity after controlling for these common factors, suggesting the existence of other features shared by these two disorders. Clinical accounts and empirical research of hoarding and scrupulosity suggest three such shared factors: a tendency to experience intense guilt and shame, rigid moralistic thinking, and general cognitive rigidity. However, results of the current study show that, although both hoarding and scrupulosity were related to cognitive rigidity and a tendency to experience guilt and shame, they are not associated with rigid moralistic thinking. Instead, beliefs about the importance of emotions as moral guides were related to both disorders. These results are interpreted in terms of dual-process theories of moral reasoning. Additionally, implications for the conceptualization and treatment of hoarding and scrupulosity are discussed.

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The prevalence rate for Obsessive-Compulsive Disorder (OCD) is between 0.8% to 2%. Many of these individuals experience scrupulosity or religious obsessive-compulsive disorder. Although scrupulosity is a salient theme for those who suffer from OCD, there is limited amount of research on scrupulosity across cultures. Research is particularly limited in relation to individuals from Latin American countries, including Mexico. In response to this limitation, the purpose of this study is to determine if there is a significant difference in symptoms of scrupulosity in non-referred samples of college students from the U.S. and Mexico. Results indicated that scrupulosity is a valid and reliable construct in the Mexican sample, not different in structure or intensity relative to an American sample.

Religious obsessive-compulsive disorder (OCD) or scrupulosity is a subtype of OCD consisting of religious-themed obsessions and/or compulsions. Individuals with scrupulosity are most likely first to disclose symptoms and seek help from their religious leaders. As a result, religious leaders’ responses to disclosed symptoms may have a substantial impact on the course of the disorder, including how individuals interpret their symptoms and whether they decide to seek assistance from a mental health provider. Despite the potentially important role of religious leaders in the course of scrupulosity, research focused on the religious leaders’ perceptions of scrupulosity is limited. Further, little is known about the guidance and recommendations religious leaders provide to individuals with scrupulosity. As a result, more research is needed to understand how religious leaders respond to scrupulosity. In response to this need, the purpose of the current study is to enhance the understanding of religious leaders’ perceptions of and responses to scrupulosity. Of particular interest is how religious leaders respond to those who report both unwanted, intrusive thoughts and indulgent thoughts that do not align with religious principles. Finally, this study will also seek to assess any patterns or differences in the perceptions of scrupulosity across different religious affiliations. A sample of 15 religious leaders affiliated with a variety of faiths, including Christianity, Buddhism, Islam, and Judaism, took part in this study. Participants engaged in a semi- structured interview to obtain a comprehensive understanding of how religious leaders perceive scrupulous symptomatology. This line of research has the potential to improve collaboration between religious leaders and mental health providers who encounter individuals with scrupulosity and inform means to improve treatment outcomes for religious/moral OCD.

The past two decades have seen a surge of research publications in the psychology of religion, with most studies affirming the salutary effects afforded by religious functioning. However, current mental health researchers have advocated for more nuanced examinations of religious constructs and more careful analysis of potentially harmful aspects of religiosity. Particularly absent from the psychological literature are the mental health effects religious beliefs may exert on parishioners. Researchers note that this is surprising given the general psychological tenet that beliefs are inextricably bound-up with affective states and general mental health. Responding to the admonition of researchers in the field, this study proposes and tests an initial model of psycho-spiritual abuse. The proposed model of psycho-spiritual abuse hypothesizes that religious beliefs such as the theological doctrine of original sin, fundamentalist ideology, lack of self-forgiveness, and negative God-representations, in addition to familial upbringing, may negatively impact an individual’s view of self, thus fostering psychological distress. In particular, this study considers scrupulosity disorder, depression, and shame to be the primary psychiatric maladies engendered by psycho-spiritual abuse. Two hundred thirty five parishioners from 18 Christian faith groups across the United States participated in an online survey consisting of standardized measures of original sin, fundamentalism, self-forgiveness, god image, perceived parental rearing, scrupulosity, depression, and shame. A canonical correlation analysis was conducted because it allows for the simultaneously testing of the relationship between the criterion variables (i.e., scrupulosity, depression, and shame) and predictor variables (i.e., original sin, religious fundamentalism, self-forgiveness, parental rearing perceived as rejecting, emotionally warm, and overprotective, as well as accepting, presence, and challenging God-representations) of interest. Results reveal that greater degrees of belief in the theological doctrine of original sin as well as greater adherence to religious fundamentalist ideologies are directly and indirectly associated with scrupulous and depressive symptomatology as well as with shame-prone feelings and actions in unhealthy ways. Results also indicate that God-representations also play an essential role in scrupulosity, depression, and shame in hypothesized ways. Hence, such results further implicate the centrality of religious ideologies in the expression of psychopathology. Additionally, results seem to suggest that the direct familial contribution to the expression of psychopathology among parishioners appears to be weaker (i.e., secondary) than that of religious beliefs; this statement is based on the fact that perceived parental rearing practices were secondary contributors to the synthetic variable of psycho-spiritual beliefs in both Function 1 and 2. Finally, these results suggest that the primary mechanism through which religious beliefs as well as familial upbringing impact parishioner psychological well-being is the resulting view of the self they engender. Therefore, results suggest that the proposed model of psycho-spiritual abuse is sound. / text

Intrigued by a striking resemblance between certain behaviour, characteristics and preoccupations in characters from French literary texts, on the one hand, and in modern-day anorexics on the other, we have undertaken a study of representations of abnegation. In reading female ascetic piety, particularly in an extreme and sterile form known as “scrupulosity,” as it is seen in Madame Gervaisais, by the Goncourt Brothers, and in the representation of adolescence in L’Histoire de ma vie, by George Sand, I aim to explore similarities and differences between these two “conditions.” Next, certain texts by Zola, Vincent van Gogh and Simone de Beauvoir allow me to study a wide range of responses to the same questions as those which motivate anorexia nervosa and scrupulosity: questions of balance between the spiritual and the material, of perfectionism, of excessive obedience, of refusal of pleasure, and of a capacity for self-destruction. Paradoxically, all the “characters” studied here (including those “characters” created by means of autobiography or letter writing) are represented as possessing tendencies which define these two “conditions,” tendencies which are capable of leading either to extraordinary fulfilment, an unheard of creativity, or to self-destruction motivated by a desire for perfect virtue. Reading these texts in the light of anorexia nervosa allows new insights into them, in turn offering a new perspective on anorexia nervosa, suggesting its long involvement in the cultural history of Europe. / RESUME S'anéantir ou s'épanouir : avatars d'ascétisme anorexique dans la littérature française du XIXe au XXIe siècle Intriguée par une ressemblance frappante entre quantité de comportements, caractéristiques et préoccupations chez, d'une part, des personnages des textes littéraires français du XIXe siècle, et d'autre part chez les anorexiques modernes, nous avons entrepris d'examiner des représentations de l'abnégation. En lisant la piété féminine ascétique, surtout dans une forme stérile et extrême nommée « scrupule », telle qu'elle est montrée dans Madame Gervaisais, des frères Goncourt, et dans la représentation de l'adolescence dans L'Histoire de ma vie, de George Sand, je me donne pour but l'exploration des similarités et différences entre ces deux « conditions ». Ensuite, certains textes de Zola, de Vincent van Gogh, et de Simone de Beauvoir me permettent de scruter une variété de réponses aux mêmes questions qui motivent l'anorexie mentale et le scrupule : questions d'équilibre entre le spirituel et le matériel, de perfectionnisme, d'obéissance excessive, de refus du plaisir, et de capacité à s'anéantir. Paradoxalement, tous les « personnages » étudiés ici (y compris les « personnages » créés à travers l'autobiographie ou l'art épistolaire) sont représentés comme possédant des tendances qui définissent ces deux « conditions », tendances qui peuvent mener soit à un épanouissement extraordinaire, une créativité inouïe, soit à l’anéantissement de soi motivé par un désir de vertu parfaite. Lire ces textes en rapport avec l'anorexie mentale, c'est les considérer sous un jour nouveau, ce qui offre à son tour une nouvelle optique sur l'anorexie mentale, suggérant son imbrication de longue date dans l'histoire culturelle de l'Europe.

Intrigued by a striking resemblance between certain behaviour, characteristics and preoccupations in characters from French literary texts, on the one hand, and in modern-day anorexics on the other, we have undertaken a study of representations of abnegation. In reading female ascetic piety, particularly in an extreme and sterile form known as “scrupulosity,” as it is seen in Madame Gervaisais, by the Goncourt Brothers, and in the representation of adolescence in L’Histoire de ma vie, by George Sand, I aim to explore similarities and differences between these two “conditions.” Next, certain texts by Zola, Vincent van Gogh and Simone de Beauvoir allow me to study a wide range of responses to the same questions as those which motivate anorexia nervosa and scrupulosity: questions of balance between the spiritual and the material, of perfectionism, of excessive obedience, of refusal of pleasure, and of a capacity for self-destruction. Paradoxically, all the “characters” studied here (including those “characters” created by means of autobiography or letter writing) are represented as possessing tendencies which define these two “conditions,” tendencies which are capable of leading either to extraordinary fulfilment, an unheard of creativity, or to self-destruction motivated by a desire for perfect virtue. Reading these texts in the light of anorexia nervosa allows new insights into them, in turn offering a new perspective on anorexia nervosa, suggesting its long involvement in the cultural history of Europe. / RESUME S'anéantir ou s'épanouir : avatars d'ascétisme anorexique dans la littérature française du XIXe au XXIe siècle Intriguée par une ressemblance frappante entre quantité de comportements, caractéristiques et préoccupations chez, d'une part, des personnages des textes littéraires français du XIXe siècle, et d'autre part chez les anorexiques modernes, nous avons entrepris d'examiner des représentations de l'abnégation. En lisant la piété féminine ascétique, surtout dans une forme stérile et extrême nommée « scrupule », telle qu'elle est montrée dans Madame Gervaisais, des frères Goncourt, et dans la représentation de l'adolescence dans L'Histoire de ma vie, de George Sand, je me donne pour but l'exploration des similarités et différences entre ces deux « conditions ». Ensuite, certains textes de Zola, de Vincent van Gogh, et de Simone de Beauvoir me permettent de scruter une variété de réponses aux mêmes questions qui motivent l'anorexie mentale et le scrupule : questions d'équilibre entre le spirituel et le matériel, de perfectionnisme, d'obéissance excessive, de refus du plaisir, et de capacité à s'anéantir. Paradoxalement, tous les « personnages » étudiés ici (y compris les « personnages » créés à travers l'autobiographie ou l'art épistolaire) sont représentés comme possédant des tendances qui définissent ces deux « conditions », tendances qui peuvent mener soit à un épanouissement extraordinaire, une créativité inouïe, soit à l’anéantissement de soi motivé par un désir de vertu parfaite. Lire ces textes en rapport avec l'anorexie mentale, c'est les considérer sous un jour nouveau, ce qui offre à son tour une nouvelle optique sur l'anorexie mentale, suggérant son imbrication de longue date dans l'histoire culturelle de l'Europe.

Intrigued by a striking resemblance between certain behaviour, characteristics and preoccupations in characters from French literary texts, on the one hand, and in modern-day anorexics on the other, we have undertaken a study of representations of abnegation. In reading female ascetic piety, particularly in an extreme and sterile form known as “scrupulosity,” as it is seen in Madame Gervaisais, by the Goncourt Brothers, and in the representation of adolescence in L’Histoire de ma vie, by George Sand, I aim to explore similarities and differences between these two “conditions.” Next, certain texts by Zola, Vincent van Gogh and Simone de Beauvoir allow me to study a wide range of responses to the same questions as those which motivate anorexia nervosa and scrupulosity: questions of balance between the spiritual and the material, of perfectionism, of excessive obedience, of refusal of pleasure, and of a capacity for self-destruction. Paradoxically, all the “characters” studied here (including those “characters” created by means of autobiography or letter writing) are represented as possessing tendencies which define these two “conditions,” tendencies which are capable of leading either to extraordinary fulfilment, an unheard of creativity, or to self-destruction motivated by a desire for perfect virtue. Reading these texts in the light of anorexia nervosa allows new insights into them, in turn offering a new perspective on anorexia nervosa, suggesting its long involvement in the cultural history of Europe. / RESUME S'anéantir ou s'épanouir : avatars d'ascétisme anorexique dans la littérature française du XIXe au XXIe siècle Intriguée par une ressemblance frappante entre quantité de comportements, caractéristiques et préoccupations chez, d'une part, des personnages des textes littéraires français du XIXe siècle, et d'autre part chez les anorexiques modernes, nous avons entrepris d'examiner des représentations de l'abnégation. En lisant la piété féminine ascétique, surtout dans une forme stérile et extrême nommée « scrupule », telle qu'elle est montrée dans Madame Gervaisais, des frères Goncourt, et dans la représentation de l'adolescence dans L'Histoire de ma vie, de George Sand, je me donne pour but l'exploration des similarités et différences entre ces deux « conditions ». Ensuite, certains textes de Zola, de Vincent van Gogh, et de Simone de Beauvoir me permettent de scruter une variété de réponses aux mêmes questions qui motivent l'anorexie mentale et le scrupule : questions d'équilibre entre le spirituel et le matériel, de perfectionnisme, d'obéissance excessive, de refus du plaisir, et de capacité à s'anéantir. Paradoxalement, tous les « personnages » étudiés ici (y compris les « personnages » créés à travers l'autobiographie ou l'art épistolaire) sont représentés comme possédant des tendances qui définissent ces deux « conditions », tendances qui peuvent mener soit à un épanouissement extraordinaire, une créativité inouïe, soit à l’anéantissement de soi motivé par un désir de vertu parfaite. Lire ces textes en rapport avec l'anorexie mentale, c'est les considérer sous un jour nouveau, ce qui offre à son tour une nouvelle optique sur l'anorexie mentale, suggérant son imbrication de longue date dans l'histoire culturelle de l'Europe.

Intrigued by a striking resemblance between certain behaviour, characteristics and preoccupations in characters from French literary texts, on the one hand, and in modern-day anorexics on the other, we have undertaken a study of representations of abnegation. In reading female ascetic piety, particularly in an extreme and sterile form known as “scrupulosity,” as it is seen in Madame Gervaisais, by the Goncourt Brothers, and in the representation of adolescence in L’Histoire de ma vie, by George Sand, I aim to explore similarities and differences between these two “conditions.” Next, certain texts by Zola, Vincent van Gogh and Simone de Beauvoir allow me to study a wide range of responses to the same questions as those which motivate anorexia nervosa and scrupulosity: questions of balance between the spiritual and the material, of perfectionism, of excessive obedience, of refusal of pleasure, and of a capacity for self-destruction. Paradoxically, all the “characters” studied here (including those “characters” created by means of autobiography or letter writing) are represented as possessing tendencies which define these two “conditions,” tendencies which are capable of leading either to extraordinary fulfilment, an unheard of creativity, or to self-destruction motivated by a desire for perfect virtue. Reading these texts in the light of anorexia nervosa allows new insights into them, in turn offering a new perspective on anorexia nervosa, suggesting its long involvement in the cultural history of Europe. / RESUME S'anéantir ou s'épanouir : avatars d'ascétisme anorexique dans la littérature française du XIXe au XXIe siècle Intriguée par une ressemblance frappante entre quantité de comportements, caractéristiques et préoccupations chez, d'une part, des personnages des textes littéraires français du XIXe siècle, et d'autre part chez les anorexiques modernes, nous avons entrepris d'examiner des représentations de l'abnégation. En lisant la piété féminine ascétique, surtout dans une forme stérile et extrême nommée « scrupule », telle qu'elle est montrée dans Madame Gervaisais, des frères Goncourt, et dans la représentation de l'adolescence dans L'Histoire de ma vie, de George Sand, je me donne pour but l'exploration des similarités et différences entre ces deux « conditions ». Ensuite, certains textes de Zola, de Vincent van Gogh, et de Simone de Beauvoir me permettent de scruter une variété de réponses aux mêmes questions qui motivent l'anorexie mentale et le scrupule : questions d'équilibre entre le spirituel et le matériel, de perfectionnisme, d'obéissance excessive, de refus du plaisir, et de capacité à s'anéantir. Paradoxalement, tous les « personnages » étudiés ici (y compris les « personnages » créés à travers l'autobiographie ou l'art épistolaire) sont représentés comme possédant des tendances qui définissent ces deux « conditions », tendances qui peuvent mener soit à un épanouissement extraordinaire, une créativité inouïe, soit à l’anéantissement de soi motivé par un désir de vertu parfaite. Lire ces textes en rapport avec l'anorexie mentale, c'est les considérer sous un jour nouveau, ce qui offre à son tour une nouvelle optique sur l'anorexie mentale, suggérant son imbrication de longue date dans l'histoire culturelle de l'Europe.