, Chapter 1: The Nature of Addiction
Essay Questions
1. Make the case that Twelve Step approaches and harm reduction are not polar opposites
or even mutually exclusive. PG 48
2. Discuss three major benefits of a harm reduction philosophy for society. PG 46 and
throughout the chapter
3. Discuss in depth the methodology used in Project MATCH and the treatment implications
of the findings. PG 35-36
4. Define interactionism and show how the addicted family member’s behavior affects the
family system. PG 14
5. Discuss the ethical dilemmas faced by the casino worker who is a social work major. PG 6-
7
.
Multiple Choice
1. According to Shavelson (2001), author of Hooked, which three words define harm
reduction?
A. any positive change
B. recovery from pain
C. a controlled life
D. I’m in recovery
ANS: B PG1
2. The DSM-5 has made the following change from the previous version of the DSM:
A.The term dependence will now be used instead of addiction
B. Abuse and dependence are now to be dichotomized
C. Specific criteria for diagnosis will no longer be provided
D. The term dependence will now be used only for physiological dependence
ANS:D PG3
3. According to the DSM-5 what term or terms replace(s) the word dependence?
A. a personal choice
B.. a bad habit
C. a brain disease
D. addiction.
ANS:D PG4
4. Which of the following are NOT typical symptoms defined by the DSM-5 to diagnose
,substance use disorder:
A. tolerance
B.unsuccessful attempts to control or reduce consumption
C. nervous facial tics
D. withdrawal problems
ANS:C PG4
5. In the boxed reading, “Social Work Major Working in a Casino,” the author describes
A. her gambling addiction problems.
B. examples of people winning lots of money.
C. close surveillance of employees.
D. advantages of playing black jack.
ANS:C PG6-7
6. A behavior pattern of compulsive substance abuse is the definition of:
A. contemporary perspective
B. metacommunication
C. incompatible with the biopsychosocial model
D. the concept of addiction
ANS:D PG9
7. According to the text, to understand the pain connected with addictive and compulsive
behavior, one must:
A. focus on harm reduction.
B. understand the pleasure side of the activity.
C. emphasize character weakness.
D. attend an AA meeting.
ANS:B PG10
8. According to the text, alcoholism is described in this book as an illness because:
A. the concept recognizes alcoholism as both a medical and social problem
B. the use of disease as a term is victim blaming
C. to avoid the notion of alcoholism as a brain disease
D. to increase the popularity of the book.
ANS:A PG11
9.. As stated in the text, addiction is an illness of the:
A. body only.
B. mind only.
C. soul only.
D. body, mind, and soul
ANS:D PG12
10.. The third leading cause of death after heart disease and cancer is
, A. illicit drug use
B. head injuries
C. asthma
D. alcohol misuse
ANS:D PG17
11. According to the text, the following behaviors can become addictive except for:
A. drug/alcohol use.
B. eating.
C. shopping.
D. studying.
ANS:D PG19
12. A concept that is stressed in the text for its explanatory value is
A.. interactionism
B.. dichotomization
C. abuse versus misuse
D. codependency
ANS:A PG14
13. _______________ is the basic principle that cause and effect are intertwined.
A. Interactionism
B. Intolerance
C. Pathology
D. Medical model
ANS:A PG14
14. Interactionism is seen most vividly, according to the text, in
A. use of robots.
B. family system dynamics.
C. creating art.
D. prayer.
ANS:B PG15
15. According to the text, approximately____of mental health clients have problems stemming
from their own or their family members’ addiction problems:
A. 20%
B. 50%
C. 80%
D 90%
ANS:B PG15
16. Approximately______________of U.S. prison inmates meet the DSM criteria for substance
misuse
A. 100,000
B. 300,000
C. 700,000
Essay Questions
1. Make the case that Twelve Step approaches and harm reduction are not polar opposites
or even mutually exclusive. PG 48
2. Discuss three major benefits of a harm reduction philosophy for society. PG 46 and
throughout the chapter
3. Discuss in depth the methodology used in Project MATCH and the treatment implications
of the findings. PG 35-36
4. Define interactionism and show how the addicted family member’s behavior affects the
family system. PG 14
5. Discuss the ethical dilemmas faced by the casino worker who is a social work major. PG 6-
7
.
Multiple Choice
1. According to Shavelson (2001), author of Hooked, which three words define harm
reduction?
A. any positive change
B. recovery from pain
C. a controlled life
D. I’m in recovery
ANS: B PG1
2. The DSM-5 has made the following change from the previous version of the DSM:
A.The term dependence will now be used instead of addiction
B. Abuse and dependence are now to be dichotomized
C. Specific criteria for diagnosis will no longer be provided
D. The term dependence will now be used only for physiological dependence
ANS:D PG3
3. According to the DSM-5 what term or terms replace(s) the word dependence?
A. a personal choice
B.. a bad habit
C. a brain disease
D. addiction.
ANS:D PG4
4. Which of the following are NOT typical symptoms defined by the DSM-5 to diagnose
,substance use disorder:
A. tolerance
B.unsuccessful attempts to control or reduce consumption
C. nervous facial tics
D. withdrawal problems
ANS:C PG4
5. In the boxed reading, “Social Work Major Working in a Casino,” the author describes
A. her gambling addiction problems.
B. examples of people winning lots of money.
C. close surveillance of employees.
D. advantages of playing black jack.
ANS:C PG6-7
6. A behavior pattern of compulsive substance abuse is the definition of:
A. contemporary perspective
B. metacommunication
C. incompatible with the biopsychosocial model
D. the concept of addiction
ANS:D PG9
7. According to the text, to understand the pain connected with addictive and compulsive
behavior, one must:
A. focus on harm reduction.
B. understand the pleasure side of the activity.
C. emphasize character weakness.
D. attend an AA meeting.
ANS:B PG10
8. According to the text, alcoholism is described in this book as an illness because:
A. the concept recognizes alcoholism as both a medical and social problem
B. the use of disease as a term is victim blaming
C. to avoid the notion of alcoholism as a brain disease
D. to increase the popularity of the book.
ANS:A PG11
9.. As stated in the text, addiction is an illness of the:
A. body only.
B. mind only.
C. soul only.
D. body, mind, and soul
ANS:D PG12
10.. The third leading cause of death after heart disease and cancer is
, A. illicit drug use
B. head injuries
C. asthma
D. alcohol misuse
ANS:D PG17
11. According to the text, the following behaviors can become addictive except for:
A. drug/alcohol use.
B. eating.
C. shopping.
D. studying.
ANS:D PG19
12. A concept that is stressed in the text for its explanatory value is
A.. interactionism
B.. dichotomization
C. abuse versus misuse
D. codependency
ANS:A PG14
13. _______________ is the basic principle that cause and effect are intertwined.
A. Interactionism
B. Intolerance
C. Pathology
D. Medical model
ANS:A PG14
14. Interactionism is seen most vividly, according to the text, in
A. use of robots.
B. family system dynamics.
C. creating art.
D. prayer.
ANS:B PG15
15. According to the text, approximately____of mental health clients have problems stemming
from their own or their family members’ addiction problems:
A. 20%
B. 50%
C. 80%
D 90%
ANS:B PG15
16. Approximately______________of U.S. prison inmates meet the DSM criteria for substance
misuse
A. 100,000
B. 300,000
C. 700,000
