Scrupulosity as a Form of OCD

Abstract

Scrupulosity is closely connected to OCD, despite some appearances and informal characterizations of Scrupulosity as a concern with sin. Those with Scrupulosity have obsessions and/or compulsions. The Penn Inventory of Scrupulosity-Revised (PIOS-R) captures the religious features of Scrupulosity. A secular presentation is less common or has been diagnosed less often, but a non-religious presentation is still possible. The distinctive features of Scrupulosity are perfectionism, chronic doubt and intolerance of uncertainty, and moral thought-action fusion. None of these features are exclusive to Scrupulosity, but they mutually reinforce each other and together characterize the condition.