This chapter presents several cases of Scrupulosity that are revisited throughout the book. The cases raise questions almost immediately: Why are these people like this? Do they really believe what they say? Are they mentally ill or mistaken? If they’re mentally ill, what is wrong with them? If they’re mistaken, what are they mistaken about? Cases of Scrupulosity are contrasted with other cases of extreme moral or religious concern. The disorder Scrupulosity is distinguished from nonclinical scrupulous behavior and the question is raised of how to categorize a particular case. The method of starting with cases to build a characterization of Scrupulosity is defended in the following chapters.
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