Catholic priests' conceptualisation of scrupulosity: A grounded theory analysis

Scrupulosity is a manifestation of obsessive-compulsive disorder concerned with religious themes. It is unclear how religious leaders understand scrupulosity, the support they offer, or how they view collaboration with mental health practitioners. This study was designed to address these issues. Eleven Catholic priests took part in a semistructured interview based on a vignette describing a person with scrupulosity. Data were analysed using a grounded theory approach. Priests understood scrupulosity as a psychological problem that they felt unqualified to deal with but for which they could offer spiritual guidance. Scrupulous individuals were perceived as difficult to develop a supportive relationship with and were sometimes a challenge to priests’ emotional wellbeing. Collaborative working between priests and mental health services was suggested as a way to address these issues, although priests recognised some difficulties in implementing this. Further research, with other religious groups and with people with scrupulosity, would be beneficial in order to expand the current conceptual framework