616. The signs or external manifestations of scrupulosity have been variously divided, but a simplified division into intellectual, or cognitive, affective, or volitional, and compulsive suffices for our present purpose.
(a) Intellectual: habitual abulia, i.e., an inability to decide, coupled with and interacting with constant doubt.
(b) Affective: closely allied to the intellectual state is the feeling of insufficiency which extends to actions, to the individual’s own personality, to his desire for higher goals, to his abilities, etc. This fosters and strengthens the inability to decide. Inordinate fears, anxieties and sadness contribute to the genesis and growth of the sense of inadequacy.
(c) Compulsive: numerous compulsion factors are present in more serious cases of scrupulosity, e.g., obsessions, phobias, and compulsions properly so called, which concern external actions or rituals.
Obsessions include irresistible, persistent and irrational ideas accompanied by feelings of tension and fear. These ideas which plague the individual are “discordant,” that is, out of harmony with his habitual attitude, and “impulsive,” tending to reduce themselves spontaneously to action. The scrupulous person is frightened and flustered by the thought of doing a thing for which he has a positive abhorrence and by his inability to get the thought out of his mind.
Phobias refer to habitual, irrational fears of a definite entity associated with a high degree of anxiety and unwarranted by objective reality. They are very intense fears, completely out of proportion to their causes or objects.
Finally, compulsions strictly so called may be defined as irresistible, unreasonable urges to perform actions to free the individual from an obsessing idea. Tension and anxiety are associated if the act or external ritual is not performed.
For the confessor, the recognition of a scrupulous person is not too difficult. The penitent’s own difficulties present the first and most obvious sign, e.g., irrational doubts about consent to temptation, as to the gravity of a sin, etc., and undue concern about circumstances. Concomitant signs confirming the judgment that a person is scrupulous include:
(a) Obstinacy of judgment; Although the scrupulous person seeks advice, frequently from many confessors, he tends to follow his own judgment. He is inclined to think that the confessor has not understood him, that he has not given a complete picture of his state of soul, etc.
(b) Inconstancy in acting owing to inability to judge rightly and the consequent frequent changes of judgment for light reasons.