When a person struggles with scruples - what ought they do?
A person with scrupulosity --ought to have a* “regular confessor” *who can direct them --and even give them some general principles to follow -to apply (principles for them due to their particular scruples -they are usually not for those with a normal conscience).
Such ‘obedience’ (except in what is manifest sin - such as if he told them it was ok to murder someone or something certain like that) is key.
They with the direction of their confessor and the principles given - then act contrary to their scruples - ignore them -(using the older language) despise them, dismiss them–following that direction and the principles given.
Thus Jim fears that Y is a sin and his confessor directs him that he may do Y without any sin. Thus he acts against his fear/scruple and does Y obeying his confessor. Jim does not sin.
Those with scrupulosity can yes see sin where sin is not and need to have assistance and direction - at least in certain areas. For their compass is off and they need to no follow its spin in those cases.
Here was a recent post from Jimmy Akin of CA that I saw in the Register.