0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

A Thousand Frightening Fantasies: Understanding and Healing Scrupulosity and Obsessive Compulsive Disorder

Sara C. Charles, MD
JAMA. 1997;278(12):1038-1039. doi:10.1001/jama.1997.03550120098051.
Text Size: A A A
Published online

ABSTRACT

William Van Ornum, a professor of psychology at Marist College in New York, has written this book for persons who suffer from scrupulosity, a spectrum of symptoms expressive of obsessive-compulsive disorder (OCD) that tends to affect individuals with religious affiliations, especially, but not exclusively, Roman Catholics and Orthodox Jews. The focus of their obsessions—recurrent, anxietyprovoking, intrusive, and inappropriate thoughts—and their compulsions—driven, repetitive behaviors to counteract the obsessions—are usually the beliefs, rituals, and behaviors that reinforce or express the tenets of the religion.

Until the mid 1980s, OCD was generally perceived as rare and poorly responsive to treatment. With the advent of large-scale epidemiological studies and more precise diagnostic criteria, a far greater number of the population have been identified as suffering from OCD, with perhaps a lifetime prevalence of 2% to 3%. Many individuals with symptoms may not recognize it as a known disorder or seek professional evaluation or

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();