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“The opposite of a scrupulous person is not an unscrupulous person, but a person of faith” Gilbert Kilpack (Scruples, 1956). Updated: The opposite of a scrupulous person is not an unscrupulous person, but a person who doesn’t ritualize! Every resisted ritual is an act of faith. Take the leap!



I wrote Understanding OCD: Skills to Control the Conscience and Outsmart Obsessive Compulsive Disorder to help OCD sufferers, loved ones, and clergy recognize the conscience-related factors that underlie almost OCD subtypes and interfere with treatment and recovery. Scrupulosity, moralosity, and obsessive guilt often prevent people with OCD from resisting rituals, which is necessary for getting control over symptoms, because they feel bad if they do. The book helps people see the paradoxes involved in OCD and treatment, and how to help people feel good about doing the opposite of their obsessive fears.

 Guilt appears to be a factor that may increase the severity of obsessive-compulsive disorder (OCD) and negatively impact treatment outcomes. However, researchers and clinicians have paid little attention to addressing guilt in OCD treatment. Because guilt is an important perpetuating and mediating factor for OCD symptoms, development of guilt-specific strategies may yield improved treatment outcomes.


Effective treatments are:

  • Exposure and Response Prevention
  • Cognitive Therapy
  • Assertiveness Training
  • Medications
  • Informed Pastoral Counseling
  • Humor













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