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People with scrupulosity have rigorous, obsessive moral beliefs that lead them to perform extreme, compulsive moral acts. A waitress with this condition checks and rechecks levels of cleaners and solvents to avoid any risk of poisoning her customers. Another individual asks repeatedly whether he fasted correctly, despite swallowing his own saliva. Those with scrupulosity stretch out their prayers for hours to be sure that they have said nothing incorrectly. They worry constantly about cleanliness, sinfulness, and all the ways they could be falling short of perfection. Using a range of fascinating case studies, Jesse S. Summers and Walter Sinnott-Armstrong argue that scrupulosity constitutes a mental illness and not moral sainthood. In doing so, they consider several important philosophical questions: Do the moral beliefs and judgments of those with scrupulosity differ from ours, or are these individuals just stricter in their moral observance? Are they morally responsible for their actions? Should they be pressured into psychiatric treatment, even when therapy leads them to act in ways they find immoral? Summers and Sinnott-Armstrong illustrate how psychiatric cases can inform the way we think about these and other philosophical issues, particularly those surrounding responsibility, rationality, and the nature of belief, morality, and mental illness. Clean Hands? will fascinate psychiatrists who treat patients with scrupulosity, philosophers who study morality, and anyone who has ever wondered about and struggled with the obligations and limits of morality.

Morbid obsessions with sex, germs, or with one's appearance, and uncontrollable compulsions to hoard objects, to check and recheck locks, or to pull one's hair are just a few of the symptoms of Obsessive-Compulsive Disorders, which afflict over ten million Americans. Many suffer in isolation, not knowing that their disorder has a name, how to seek help, or how to help themselves. Dr. Penzel discusses the entire spectrum of these disorders, from the classic form characterized by intrusive, repetitive, and often unpleasant thoughts, to body dysmorphic disorder ("imagined ugliness"), trichotillomania (compulsive hair pulling), compulsive skin picking, and nail biting. He takes the reader through each step of the most effective behavioral therapies, detailing how progress is made and how to avoid relapse. He also offers a completely up-to-date discussion of medication--how it is used as part of the overall treatment, its effect on pregnancy, how to choose the best medicine, and how to know if it is working. In addition, Dr. Penzel discusses the treatment of children with these disorders, offers helpful advice for the families of sufferers, and lists sources of help and information (including the latest sites on the Internet).

People with scrupulosity have rigorous, obsessive moral beliefs that lead them to perform extreme, compulsive moral acts. A waitress with this condition checks and rechecks levels of cleaners and solvents to avoid any risk of poisoning her customers. Another individual asks repeatedly whether he fasted correctly, despite swallowing his own saliva. Those with scrupulosity stretch out their prayers for hours to be sure that they have said nothing incorrectly. They worry constantly about cleanliness, sinfulness, and all the ways they could be falling short of perfection. Using a range of fascinating case studies, Jesse S. Summers and Walter Sinnott-Armstrong argue that scrupulosity constitutes a mental illness and not moral sainthood. In doing so, they consider several important philosophical questions: Do the moral beliefs and judgments of those with scrupulosity differ from ours, or are these individuals just stricter in their moral observance? Are they morally responsible for their actions? Should they be pressured into psychiatric treatment, even when therapy leads them to act in ways they find immoral? Summers and Sinnott-Armstrong illustrate how psychiatric cases can inform the way we think about these and other philosophical issues, particularly those surrounding responsibility, rationality, and the nature of belief, morality, and mental illness. Clean Hands? will fascinate psychiatrists who treat patients with scrupulosity, philosophers who study morality, and anyone who has ever wondered about and struggled with the obligations and limits of morality.

Morbid obsessions with sex, germs, or with one's appearance, and uncontrollable compulsions to hoard objects, to check and recheck locks, or to chronically pull one's hair are just a few of the symptoms of obsessive-compulsive disorders, which afflict over ten million Americans today. Many suffer in isolation and shame, not knowing that their disorder has a name, how to seek help, or-most importantly-how to help themselves.Dr. Fred Penzel discusses the entire spectrum of these disorders, from the classic form characterized by intrusive, repetitive, and often unpleasant thoughts, to body dysmorphic disorder ("imagined ugliness"), trichotillomania, compulsive skin picking, and nail biting. He takes the reader through each step of the most effective behavioral therapies, detailing how progress is made and how they can avoid relapse. Dr. Penzel also offers readers a completely updated discussion of medication and how it fits within patients' lives-as part of the overall treatment plan, its effects on pregnancy, how to choose the best medicine, and how to know if it is working. In addition, Dr. Penzel discusses the treatment of children with these disorders, offers helpful advice for the families of sufferers, and lists a host of helpful resources and information for those afflicted.