I had a run with scrupulosity for a while. It wasn’t fun. I think it’s generally misunderstood and, tbh, I think that understanding is still developing. I heard many components of scrupulosity but that didn’t really encapsulate the whole.
Some have called it the doubting disease, others a sensitive conscience. One saint referred to a “lack of trust in Gods mercy”. Often scrupulous people feel they have committed a sin where there is no sin. Or they struggle with having confidence in confession, or if they approached sacraments correctly. Many often have intrusive or blasphemous thoughts that they can’t get rid of. Personally I had “If I eat this piece of chicken (or whatever I had in my hand) I sold my soul to the enemy”. I think all of these are factors and symptoms which are common.
I have a family member who is scrupulous. From an external perspective: He needs constant reassurance in every area of life, he often checks everything over and over to make sure its done right, and he is very conscientious. He is also one of the few people which I can say I honestly would trust with faith questions and is very involved in the faith community.
For me though it was a pretty severe case of depression, with a bit of OCD in there. In some ways I view it like a rock in your sleeping bag. When your very very tired, either through your own fault or the fault of others, that small rock feels massive. And your not getting any sleep.
I had about five things in life occur at once. I was a former athlete at a reasonable level, 14 years of catholic school, by all accounts a healthy and “durable person”. However after 5 years of working graveyards, college at a liberal arts school where there were very low behavioral standards, and basically losing my dream career (which is why I was doing all this in the first place) I finally just cracked with all the stress and unhealthy living.
I don’t say this to complain in any way, but more to say that I think some scrupulous persons are people, with a certain temperament, who have been pushed past their limit, either by themselves or others. Like burnout to a severe degree. At least that’s the case with me and, I think, my family member. He worked 70 hours a week. It’s too much, and the mental health starts to deteriorate. The symptoms are varied and cover a broad spectrum as mentioned above.
Sadly I think our current culture is partly to blame with relativism rampant, it’s becoming more and more difficult to be a good Christian. Gaslighting can be everywhere. And I think we need to be honest, people, both in the Church and without, can be pretty petty and cruel sometimes.
I’m sorry for such an amorphous answer, but that’s part of the issue. An interesting article about it below as well. Hopefully something in here helps clarify some.
https://ocdla.com/scrupulosity-ocd-religion-faith-belief-2107