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Depression and Hope -- New Insights for Pastoral Counseling
by Howard W. Stone
© 1998.
(Augsburg Fortress Press (Minneapolis, MN). All rights reserved.

[Answer 11 of 15 questions correctly to receive
8 hours of Continuing Education credit.]


Chapter 1: Characteristics of Depression (p 6-20)
1. Physiological research by Drevets has shown depressed individuals to have a reduction in the size of their
a. kidneys.
b. spleen.
c. prefrontal cortex of the brain.
d. liver.

Chapter 2: Melancholy and Spiritual Depression (p 21-31)
2. Which is NOT Martin Luther’s recommendation for responding to Anfechtungen?
a. Fight back against depressing thoughts.
b. Enjoy the good things of life.
c. Have faith in God’s grace.
d. Let depression run its course.

Chapter 3: Suicide and Depression (p 32-38)
3. The most critical element in assessing suicide risk is determining
a. the client’s present medical condition.
b. the client’s access to a specific plan.
c. the client’s involvement with extended family members.
d. the client’s current job satisfaction.

Chapter 4: Family Life of the Depressed (p 39-46)
4. Which is NOT true?
a. Single people experience more depression than married people.
b. Married women have lower rates of depression than single women.
c. Married men have lower rates of depression than single men.
d. More men become depressed than do women.

Chapter 5: Framing Hope (p 47-62)
5. The author believes that counseling offered to the depressed person should focus on
a. when the client is not depressed.
b. when the client is most depressed.
c. when the client first became depressed.
d. the client’s specific symptoms while being depressed.

6. Describing depression not as an enemy but as a friend trying to press you down to firm ground is a good example of
a. self-hypnosis.
b. unrealistic optimism.
c. reframing.
d. the power of positive thinking.

7. Pastoral counseling with the depressed should
a. focus on their past.
b. help them gain insight into their defense mechanisms.
c. show hospitality.
d. try to discover the exact cause of their depression.

Chapter 7: Interpersonal Interventions (p 76-89)
8. If a depressed person starts to feel better after one month of taking antidepressant medication, family members should encourage the person to
a. continue the medication.
b. decrease the medication.
c. increase the medication.
d. stop taking the medication.

9. At the last minute, a depressed mother decides not to go on a family trip to Florida at Christmastime. The family should
a. cancel their trip and stay home with the mother.
b. force the mother to go with them.
c. try whatever they can to “cheer her up.”
d. find local care for Mom and go on their trip without her.

Chapter 8: Physiological Interventions (p 90-105)
10. A depressed woman with a poor body image who views herself as fat should be initially encouraged to
a. seek immediate weight-loss.
b. become more active.
c. accept herself just as she is.
d. none of the above.

11. Antidepressants are most effective when
a. the depressed person is also receiving counseling.
b. the depressed person takes the pills regularly.
c. the depressed person stays on the medication for 4 to 9 months after their depressive symptoms have decreased.
d. all of the above.

12. Depressed persons who have difficulty falling asleep should
a. avoid any form of caffeine prior to bedtime.
b. watch television in bed.
c. take naps during the day to compensate for sleep loss.
d. exercise before bedtime.

Chapter 9: Cognitive Interventions (p 106-127)
13. The yellow tablet analysis method proposes that
a. obsessive thoughts should be commended to “Stop!”
b. obsessive thoughts should be written down and burned.
c. worry time should be scheduled each day.
d. depression does not need to be analyzed in order to be managed.

Chapter 10: Behavioral Interventions (p 128-143)
14. You can help depressed persons to “get active” by inspiring them to
a. have the right motivation.
b. act according to their feelings.
c. be aware of their purpose for doing something.
d. just get started whether they feel like it or not.

15. Which would NOT be considered a “helpful activity” for a
depressed person?
a. watching a pointless movie.
b. having lunch with a friend.
c. exercising.
d. telling a friend right away when sadness occurs.