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Addiction and Grace by Gerald G. May, M.D. © 1988
(HarperCollins Publishers: New York, NY) All rights reserved. [195 pages]
[Answer 11 of 15 questions to receive 11 hours of Continuing Education credit]

Chapter 1 – Desire: Addiction and Human Freedom (p. 1-20)
1. At one time, the author worked as a director of a community drug abuse clinic. He applied his best psychiatric methods to the treatment of addictions. None of them worked. After embarking on some informal research, he identified some people who had overcome serious addictions to alcohol and other drugs. What eventually helped them turn their lives around so dramatically?
a. All of them used cognitive-behavioral therapy.
b. All of them used aversion therapy.
c. All of them went to an intensive in-patient treatment program.
d. All of them had some sort of spiritual experience.

Chapter 2 – Experience: The Qualities of Addiction (p. 21-41)
2. Why did Sally's nose drops cause her nose to be stuffier than ever?
a. Sally turned out to be allergic to those particular drops.
b. Sally did not take enough of the drops for them to be effective.
c. The nose drops contained decongestant chemicals. Her body, trying to restore its balance, produced more congestants, thus making her nose stuffier than ever.
d. Sally did not take the nose drops for a long enough period of time.

3. What is it called when withdrawal from alcohol produces hyperactivity and when withdrawal from stimulants results in lethargy?
a. tolerance
b. rebound or backlash
c. self-deception
d. distortion of attention

4. Which is NOT true?
a. In a spiritual sense, attachments are anything that become more important to us than God.
b. The five characteristics of addictions are: tolerance, withdrawal symptoms, self-deception, loss of willpower, and distortion of attention.
c. In our culture, the three gods we trust for security are possessions, power, and human relationships.
d. There are good addictions and there are bad addictions.

Chapter 3 – Mind: The Psychological Nature of Addiction (p. 42-63)
5. When a drinker says, “What I'll do is go and drink and drink until I get sick of it, and then I'll really want to quit,” this self-deceptive technique is called
a. delaying tactic.
b. repression.
c. rationalization
d. hiding

6. What is the only dedicated action that really counters addiction?
a. getting help for an addictive personality.
b. strengthening one's willpower.
c. stopping the addictive behavior.
d. identifying the childhood trauma that led to the addictive behavior.

Chapter 4 – Body: The Neurological Nature of Addiction (p. 64-90)
7. Which of the following is an example of multi-system involvement, where breaking an addiction requires changes in other areas of life?
a. A person trying to be less attached to money tries to stop listening to the stock market reports several times a day.
b. A recovering alcoholic finds it difficult to remain sober when associating with previous drinking buddies.
c. An over-eater works at a fast-food restaurant.
d. All of the above.

8. What is the best reason why regular exercise like jogging helps us cope with stress?
a. Exercise produces more serotonin which makes people feel better.
b. Exercise helps the body respond to higher levels of stress chemicals as if they were normal levels.
c. Exercise provides a relief from one's hectic schedule.
d. Exercise provides better blood-flow to the brain, thereby promoting more rational thinking.

9. What is the best explanation for why people in AA call themselves “recovering alcoholics” and not “recovered alcoholics”?
a. because they must attend AA meetings the rest of their lives.
b. because they realize that their brain never completely forgets what it has learned and that even after years of sobriety, the addiction can return with even the slightest encouragement.
c. because they want to maintain a humble attitude, which is a necessary ingredient for recovery.
d. because most of them still have a strong desire to drink.

Chapter 5 – Spirit: The Theological Nature of Addiction (p. 91-118)
10. What does Constance Fitzgerald call the process of withdrawing from our attachments and finding our home in God?
a. transformation of desire.
b. detachment
c. purgation
d. sanctification

11. What is TRUE about spiritual growth?
a. It can be packaged, programmed, and taught.
b. It is about relinquishing attachments.
c. It is about acquiring new facts and understandings.
d. It is about establishing new normalities through habituation and adaptation.

12. Which of the following of Christ's teachings from the book of Matthew are about relinquishing attachments?
a. No one can serve two masters.
b. You cannot love both God and money.
c. Anyone who prefers father or mother...son or daughter to Me is not worthy of Me.”
d. All of the above.

Chapter 6 – Grace: The Qualities of Mercy (p. 119-139)
13. Which is NOT true?
a. Grace is the active expression of God's love, like a mother's love for her baby.
b. Even when our choices are destructive and their consequences are hurtful, God's love remains unwavering.
c. True spiritual growth is characterized by quietude and serenity, not risk taking.
d. Addiction cannot be defeated by the human will acting on its own, but by the human will choosing to act in harmony with divine will, like Jesus did when He responded to Satan's temptations in the desert by quoting Scripture. (139)

Chapter 7 – Empowerment: Grace and Will in Overcoming Addiction (p. 140-161)
14. According to Footnote #10 (p. 194), what does deliverance actually accomplish?
a. Deliverance enables a person to reform addictive behavior by substituting constructive actions for destructive ones.
b. Deliverance fills up the spaciousness left when the addiction is not acted upon.
c. Through deliverance, many of the systems associated with the addictive behavior are enabled to relax, and the person ends up with a much simpler approach to the addictive behavior.
d. Deliverance enables a person to say to God, “If I consecrate myself to you, will help me overcome my addiction?”

Chapter 8 – Homecoming: Discernment and the Consecrated Life (p. 162-181)
15. Stopping every addictive behavior boils down to this:
a. Construct a self-image that is as close as possible to how God views each of us.
b. Always be a part of a faith-based recovery community, such as Alcoholics Anonymous.
c. Don't do it, refuse to do it, and keep refusing to do it.
d. Avoid spaciousness by sitting quietly with God until he guides you.