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Understanding and Counseling Persons with Alcohol, Drug, and Behavioral Addictions
by Howard Clinebell, Ph.D. © 1998
(Abingdon Press: Nashville, TN) All rights reserved.
[Answer 25 of 35 questions correctly to receive
27 hours of Continuing Education credit]

Chapter 1: Who Are Alcoholics and Drug-Addicted Persons? (p 21-49)
1. Which is NOT true?
a. An alcoholic will keep drinking even after drinking has caused serious problems.
b. For most alcoholics, one drink will lead to another.
c. Everyone who gets drunk is an alcoholic.
d. All alcoholics get drunk.

2. All 98 participants of E.M. Jellinek’s study of alcoholics experienced
a. getting drunk.
b. losing friends because of drinking.
c. admitting to self the inability to control drinking.
d. “a” and “c”.

Chapter 2: Multiple Causes of Addictions, Multiple Levels of Prevention (p 50-90)
3. Anthropologist Donald Horton says that the primary function of alcoholic beverages in all societies is
a. the illusion of happiness.
b. the increase of one’s self-esteem.
c. the increase of social courage.
d. the reduction of anxiety.

4. Traditionally, alcoholism rates have been lower among Jews than among Protestants and Roman Catholics because
a. Jewish families do not allow drinking.
b. for many Jews, to use wine in excess is to abuse something sacred.
c. alcohol is not as accessible to Jews as it is to other groups.
d. Jews have a lower psychological vulnerability to addictions that other groups.

5. Preventing socio-cultural causes of alcohol addiction include
a. raising taxes on alcohol.
b. deglamorizing alcohol in advertising.
c. widespread social sanctions against drinking and driving.
d. all of the above.

Chapter 3: Understanding Drug Dependence (p 91-118)
6. The highly publicized case of Karen Ann Quinlan established a prototype for the tragic effects of
a. mixing alcohol and barbiturates.
b. overdosing on tranquilizers.
c. overdosing on amphetamines.
d. overdosing on morphine.

7. The most common danger of ________ is masking fatigue and causing one’s body to use energy far beyond a safe point. Users may collapse from total exhaustion.
a. barbiturates.
b. opiates.
c. amphetamines.
d. hallucinogens.

8. Overeaters Anonymous promotes
a. dieting plans.
b. a spiritual awakening.
c. exercise routines.
d. food measurement.

Chapter 4: Behavioral or Process Addictions: Understanding and Helping (p 119-145)
9. Diane Fassel says that ____ addiction is difficult to identify and treat in our society because it is the cleanest, most respected, and rewarded addiction.
a. sports
b. work
c. shopping
d. television

10. Sex addicts avoid
a. success.
b. power.
c. emotional intimacy.
d. unsafe sex.

Chapter 5: Understanding and Helping Those at Special Risk of Addictions (p 146-163)
11. The “Johns Hopkins Medical Letter for Health After Fifty” suggests four questions that can help seniors diagnose their own drinking problem. If a senior answers “Yes” to two or more of these questions, the “Medical Letter” states: “You should consider decreasing your intake.” The author of this book recommends the following stronger sentence be added:
a. “If you find you are not able to decrease your drinking, it is strongly recommended that you phone the local chapter of A.A. or addictions hotline.”
b. “You are definitely an alcoholic and must call your local A.A. chapter.”
c. “There is a high probability that you are an alcoholic and must call
     your local A.A.chapter.”
d. “You are a drinking addict and must call your local A.A. chapter.”

12. Which is NOT true?
a. The leading cause of mental retardation is alcohol used by the pregnant mother.
b. Fetal alcohol syndrome is caused by the mother drinking during pregnancy.
c. 70% of pregnant mothers consume some alcohol during pregnancy.
d. There is a safe level of alcohol use during pregnancy.

Chapter 6: How Religion Helps Low-Bottom Alcoholics and Drug Addicts (p 167-194)
13. The essence of the rescue mission approach to alcoholism is
a. food and shelter.
b. education.
c. salvation.
d. restoring jobs.

14. In the author’s opinion, the most effective evangelical approach for low-bottom, homeless addicts is
a. the rescue mission.
b. the Salvation Army.
c. the local Protestant church.
d. the local Roman Catholic church.

Chapter 7: Alcoholics Anonymous: Still our Greatest Resource (p 195-244)
15. The best referral source for an alcoholic is Alcoholics Anonymous because
a. A.A. meetings are available in almost every community.
b. A.A. meetings do not charge attendance fees.
c. A.A. has been more effective than any other approach.
d. all of the above.

16. After 3 months of sobriety, Joe went on a drinking binge. At the next A.A. meeting, he was met with this response from the group:
a. “What happened, Joe? You were doing so well.”
b. “It wasn’t what you thought it would be, was it, Joe?”
c. “Could have happened to anybody, and often does, Joe. Welcome back.”
d. “Starting over is a lot harder the second time around, Joe.”

17. The central goal of Alcoholics Anonymous is
a. changing underlying personality problems.
b. providing an intense religious experience.
c. sobriety.
d. fellowship.

18. Which is NOT one of the Twelve Traditions of Alcoholics Anonymous?
a. An A.A. group may accept unsolicited, outside contributions.
b. The only requirement for A.A. membership is a desire to stop drinking.
c. An A.A. group must not give endorsements to an outside enterprise.
d. A.A. does not give opinions on public issues.

19. The Serenity Prayer
God grant me the serenity to accept the things I cannot change,
Courage to change the things I can, and wisdom to know the difference.
This great prayer was authored by:
a. St. Francis of Assisi.
b. Bill Wilson (co-founder of A.A.).
c. Carl Jung.
d. Reinhold Niebuhr.

Chapter 8: Other Paths to Recovery and Beyond (p 245-262)
20. The most fully researched challenge to the disease model of alcoholism has been presented by
a. Jean Kirkpatrick.
b. Charlotte Davis Kasl.
c. Mark and Linda Sobell.
d. Herbert Fingarette.

Chapter 10: Understanding Ethical Issues in Addiction and Recovery (p 285-300)
21. The official position of the Roman Catholic Church on addictions is:
a. Addictions are the result of personal sin. At no point are they sicknesses.
b. Addictions are sicknesses that are caused by the sin of voluntary excessive drinking or drug use.
c. Addictions are illnesses resulting from social sins.
d. Alcoholism and other addictions involve original sin.

Chapter 11: Preparation for Counseling Alcoholics and Other Addicted Persons (p 303-329)
22. The decisive factor in whether or not an alcoholic will approach a clergy member for help is
a. the clergy member has a non-judgmental spirit.
b. the clergy member is a recovering alcoholic.
c. the clergy member openly advocates abstinence.
d. the clergy member has specialized training in alcohol addiction.

23. If a pastor strongly suspects a drinking problem, which is NOT recommended as an opening question to his/her church member?
a. “I get the feeling that there is something that’s worrying you, but it’s not easy to talk about it.”
b. “You seem to have a burden on your mind. Would you like to tell me about it?”
c. “You seem to be carrying a load of some kind. Would it help to talk?”
d. “Have you ever considered yourself to have a drinking problem?”

24. ______ is the only realistic and humane treatment goal for alcoholics.
a. A one-year abstinence followed by controlled drinking
b. A two-year abstinence followed by controlled drinking
c. A two-drink limit followed by 30 days of abstinence
d. Permanent abstinence

25. Which is the LEAST effective treatment for addictions?
a. short-term, behavior-oriented therapy
b. group therapy
c. long-term psychotherapy
d. counter-conditioning

Chapter 12: Counseling for Recovery and Beyond: Motivating and Beginning the Process (p 330-364)
26. Alcoholics are more motivated to stop drinking when
a. they believe they can quit on their own.
b. they come to counseling at the request of a spouse.
c. the pain of their drinking becomes greater than the pleasure derived from it.
d. they believe their drinking was caused by marital problems.

27. An alcoholic’s wife calls a pastor and says “Will you please come over and talk to my husband? He’s drinking again.” Before the pastor decides whether or not to go, he needs to ask the wife all of the following EXCEPT
a. Does your husband know you are calling me?
b. Can you both come in for counseling right now?
c. Does your husband see his drinking as a problem with which he wants help?
d. Is your husband drunk?
e. Does your husband sometimes get violent when he is drunk?

28. Which is NOT part of an intervention (confronting the alcoholic)?
a. enlisting the help of employers
b. detailed, caring and concrete examples of how the person’s drinking has adversely affected others’ lives.
c. completing the confrontation even if the alcoholic shows intense hurt or anger.
d. letting the alcoholic know ahead of time what the confrontational meeting is for.

29. The key to a counselor avoiding codependency with an addict is
a. letting the addict know how important sobriety is to the counselor.
b. the counselor showing controlled anger when the addict chooses against sobriety.
c. letting the addict know how successful the counselor has been in helping other addicts achieve sobriety.
d. the counselor not taking responsibility for the addict’s sobriety or the lack of it.

Chapter 13: Counseling for Recovery and Beyond: Basic Methods (p 365-394)
30. Counselors can help alcoholics interrupt the craving of the addictive cycle by
a. breaking down the rationalization for taking the next drink.
b. helping alcoholics discover why they started drinking in the first place.
c. first helping them resolve some of their other major problems.
d. none of the above.

31. Robin Crawford helped addicts gain healing from spiritual trauma by
a. helping them heal their inner wounded child.
b. organizing Bible studies led by recovering addicts.
c. helping them recall experiences in their lives that were good, strong and sane.
d. probing the details of their painful, religious experiences and urging forgiveness and reconciliation.

Chapter 14: Counseling with Families for Recovery: A Systems Approach to Codependency (p 396-430)
32. When distraught family members living with an alcoholic come to clergy for counseling, the clergy
a. really cannot do much for them except refer them to AL-ANON and other such programs.
b. can gradually help move them from their self-defined role as “helper” to that of “the helper who also needs helping.”
c. should teach them ways to help the alcoholic to stop drinking.
d. should engage in intense, personal therapy in the first meeting.

33. A wife is learning to properly “detach” from her husband’s drinking problem when she
a. takes up a new hobby in place of criticizing her husband’s behavior.
b. stops pouring his liquor down the drain.
c. resumes going to church in spite of embarrassing questions about her husband’s whereabouts.
d. all of the above.

Chapter 15: Developing Effective Addiction Treatment and Prevention Programs (p 431-462)
34. Which of the following represents the type of involvement Christian congregations should have in helping those with alcoholism and other addictions?
a. “Let A.A. handle those types of problems. There’s not much the church can do.”
b. “The last time the church helped alcoholics on a grand scale was during Prohibition, and what a fiasco that was!”
c. Jesus turned water into wine at a wedding party, so drinking can’t be all that bad.”
d. Jesus’ parable about the Good Samaritan.

35. Studies have shown that the most important variable influencing teens to use or not use alcohol and drugs is
a. personal conscience.
b. peer pressure.
c. parental example.
d. parental lectures.