I don’t know how often scrupulosity occurs noawadays - I’ll defer to Father’s judgment on this - but for those who are affected, and for their loved ones, it can be a living hell.
I am the father of three children who have suffered from Obsessive-Compulsive Disorder. It manifested itself in various ways, but for two of my children, the illness took the form of extreme scrupulosity. And I mean extreme – going to Confession, spending 30-40 minutes with their confessor, and then within a couple hours, feeling the need to go again.
One of my children morphed from a smiling, happy-go-lucky kid into a screaming, hysterical person I did not know. The sin that she zeroed in on was sacrilege. She saw mortal sin EVERYWHERE…a few examples:
• She “broke the Communion fast” because she swallowed her saliva and it might have contained particles of food from her breakfast. I told her to brush and floss her teeth thoroughly after breakfast to remove all particles of food. She then “broke the Communion fast” because she might have swallowed a minute amount of toothpaste that was left over in her mouth.
• She “committed sacrilege” because she sneezed after she returned to the pew after receiving Communion and she might have expelled a particle of the Host. She was in hysterics because she did not go through the hair on the back of the head of the person sitting in front of her, looking for the particle.
• She “committed sacrilege” because her finger Rosary fell out of her pocket and landed on the floor.
• She “committed sacrilege” because she thought about the Blessed Mother while she was using the restroom and therefore equated Mary with human bodily waste.
• Every time she went to Confession, she “committed a mortal sin” because she didn’t “do it right” – she might have not said she words of the Act of Contrition correctly, her Confessor didn’t understand exactly the sin she was confessing, she might have not counted the number of her “mortal sins” correctly.
Her confessor (one of the holiest and finest priests I have ever known) and I struggled mightily to reason with her that she had not committed a mortal sin. She then turned on us, accusing us of trying to send her to Hell because we “knew she was in mortal sin”. I offered to take her to a different parish for Confession and she then accused me of trying to kill her because she “knew we would get into a traffic accident and she would die and go to Hell because she knew she was in a state of mortal sin”. There was absolutely no reasoning with her. Her life – and ours – was beyond awful.
Praise God, we found a therapist who was as thoroughly Catholic as he was professionally skilled. Through therapy, spiritual direction with her Confessor, a regimen of medications from a psychiatrist that the therapist referred us to and prayer - LOTS of prayer - she was able to overcome the scrupulosity.
Not having read the article referenced in the original post, I can’t comment on what the author said.
But I can assure you that for those people afflicted with scrupulosity and those who are close to them, it is far from ridiculous.