The Doubting Disease: Religious Scrupulosity and Obsessive-Compulsive Disorder in Historical Context

Cefalu, Paul

doi:10.1007/s10912-010-9107-3

Cited by 16 publications

(9 citation statements)

References 1 publication

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“…On a more global level, the specific relationship between DA and checking symptoms may influence current conceptualizations of OCD, which has been characterized as a disorder of doubt (Alvarenga, Hounie, Mercadante, Miguel, & Conceição, 2007;Cefalu, 2010). Pathological doubt is especially common in individuals with OCD and has been conceptualized as possibly resulting from an intolerance of uncertainty (Tolin, Abramowitz, Brigidi, & Foa, 2003) and/or memory deficits/distrust (Ashbaugh & Radomsky, 2007;Dar, Rish, Hermesh, Taub, & Fux, 2000).…”

Section: Discussionmentioning

confidence: 99%

Perfectionism dimensions as predictors of symptom dimensions of obsessive-compulsive disorder

Martinelli¹,

Chasson²,

Wetterneck³

et al. 2014

Bulletin of the Menninger Clinic

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The correlation between obsessive-compulsive disorder (OCD) and perfectionism is well documented, yet it remains unclear if dimensions of perfectionism vary as a function of OCD symptom dimensions. To this end, the present study investigated the unique associations between dimensions of perfectionism (i.e., concern over mistakes, doubts about actions, personal standards, parental criticism, parental expectations, and organization) and OCD symptom dimensions (i.e., hoarding, washing, checking, ordering, obsessing, and neutralizing). The study included adult patients with OCD (N = 46) from a residential OCD treatment program. Consistent with previous research, doubts about actions was a significant predictor of overall OCD severity and OCD checking symptoms. The organization dimension of perfectionism was a significant predictor of OCD ordering symptoms. The current study provides evidence for the unique relationships between OCD symptoms and perfectionism dimensions that encourage a movement toward greater phenotypic specificity within existing models of OCD.

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Section: Discussionmentioning

confidence: 99%

Perfectionism dimensions as predictors of symptom dimensions of obsessive-compulsive disorder

Martinelli¹,

Chasson²,

Wetterneck³

et al. 2014

Bulletin of the Menninger Clinic

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“…Research by Cefalu (2010) purport that those who hold legalistic views tend to stress the importance of perfectly following moral laws, which could exhibit forms of scrupulosity. Other studies on religious scrupulosity Foa, Abramowitz, Franklin, & Kozak, 1999;Nelson, Abramowitz, Whiteside, & Deacon, 2006) have found a persistent pattern of fear concerning sin and urges to perform excessive religious behaviours, similar to obsessive-compulsive disorder.…”

Section: Scrupulositymentioning

confidence: 99%

Examining legalism, scrupulosity, family perfectionism, and psychological adjustment among LDS individuals

Allen

Wang

Stokes

2015

Mental Health, Religion & Culture

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This study examined the relationships and interactions between legalism, scrupulosity, family perfectionism, guilt, and shame among 421 Latter-Day Saints (LDS or Mormons). The results showed that scrupulosity fully mediated the links between legalism and guilt, as well as legalism and shame. A moderated-mediation effect was found, in which family discrepancy (maladaptive perfectionism) intensified the scrupulosity-shame association in the mediation model of legalism and shame by scrupulosity. Family discrepancy was not a significant moderator for the mediation model of legalism and guilt by scrupulosity. Additional results are provided and implications of these findings are outlined.

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“…A caveat stressed by Cefalu [6] is that care should be taken before categorizing these behaviors as OCD. Loyola, Luther, and Bunyon are commonly referred to as OCD sufferers by writers seeking roots for today's OCD, although in their time, their ruminations may have been normative and even healthy searches for salvation.…”

Section: Introductionmentioning

confidence: 99%

Scrupulosity: A Unique Subtype of Obsessive-Compulsive Disorder

Greenberg

Huppert

2010

Curr Psychiatry Rep

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The earliest descriptions of obsessive-compulsive disorder (OCD) were religious, as was the understanding of their origins. With the emancipation, religion in OCD was relegated to its status today: a less common symptom of OCD in most Western societies known as scrupulosity. The frequency of scrupulosity in OCD varies in the literature from 0% to 93% of cases, and this variability seems predicated on the importance of religious belief and observance in the community examined. Despite the similarities between religious ritual and compulsions, the evidence to date that religion increases the risk of the development of OCD is scarce. Scrupulosity is presented as a classic version of OCD, with obsessions and compulsions, distress, and diminished functioning similar to those of other forms of OCD. The differentiation between normal religiosity and scrupulosity is presented, and the unique aspects of cognitive-behavioral therapy in treating scrupulosity, especially in religious populations, are reviewed.

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The Doubting Disease: Religious Scrupulosity and Obsessive-Compulsive Disorder in Historical Context

Cited by 16 publications

References 1 publication

Perfectionism dimensions as predictors of symptom dimensions of obsessive-compulsive disorder

Perfectionism dimensions as predictors of symptom dimensions of obsessive-compulsive disorder

Examining legalism, scrupulosity, family perfectionism, and psychological adjustment among LDS individuals

Scrupulosity: A Unique Subtype of Obsessive-Compulsive Disorder

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