Chapter 1 – Addiction and Disease:
Science, Philosophy, and Theology (p. 15-30)
1. The author does not believe that alcohol and drug addiction is a brain
a. tolerance and withdrawal, which are usually considered necessary
conditions for addiction, are experienced by many people who are not
addicted, such as surgery patients who are prescribed a pain reliever.
b. some people on regular medication experience little to no tolerance or
c. even though studies show that drug abuse does change the structure and
function of the brain, people still retain voluntary control over their
d. All of the above.
2. Given that the following is true:
People who have genes associated with addictions do
exhibit more immediate and powerful attraction to the drug, and/or develop
tolerance to the drug more quickly and severely and/or experience more acute
withdrawal symptoms in the absence of the drug.
Which is NOT true concerning genetic influence on addiction?
a. Experiences of gratification, tolerance, and withdrawal do not
directly cause addictive
behavior. Rather, it depends upon the significance or meaning the person
places upon those experiences as to whether or not addiction will occur.
b. The author believes it is only a matter of time before a single gene or
group of genes is discovered that cause alcoholism and other drug addictions.
c. Regardless of what gene variant someone has, everyone has the potential
to become addicted.
d. Just because a human behavior pattern is influenced by genes does not
make that pattern involuntary behavior.
3. Which is NOT true about treating addiction medically?
a. Most substance abusers do stop practicing their addictions and go on
to lead lives free from addiction.
b. A large majority of addicts recover in a non-medical context.
c. A smaller percentage of patients relapse (return to their addiction)
after medical treatment is over than those who are not in medical treatment.
d. There is no evidence to suggest that medical treatment improves the
chances of recovery from addiction.
Chapter 2 – Addiction and Incontinence: Resources in Aristotle (p. 31-55)
4. What is the "paradox of addiction"?
a. That a person repeatedly does something he really doesn't want to do.
b. That addicted persons claim to be powerless over their addictive
behavior, yet this admission itself is the inroad to regaining power over
that same behavior.
c. That a person does not exert enough willpower over his addiction, while
at the same time he exerts sufficient willpower in other areas of his life.
d. That a person will cause great harm to himself in order to satisfy his
5. The incontinent addicted person
is one who
a. has the belief that the addictive behavior is bad for him and
a corresponding desire not to engage in it, and who has some capacity to
resist the behavior, but who nevertheless does engage in addictive behavior
against his own better judgment.
b. is truly confused about whether or not an addictive behavior is good or
c. believes the addictive behavior is bad for him, but has no capacity to
resist the behavior.
d. usually has some serious mental deficiency.
6. Which is NOT true?
a. The first drink or the first hit of a drug does bring about a
decisive constitutional change in the addicted person's body, a much more
decisive change than that brought about when a non-addicted person takes a
first drink or a first hit of a drug. This decisive constitutional change
interferes with the addictive reasoning process.
b. Physical cravings can obstruct good judgment. Those that last for 5-8
days (like heroin withdrawal) make it "practically impossible to stop
addictive behaviors" than those that last for a lesser time, like 12-24
c. The psychological cravings that accompany addiction make resistance to
addiction difficult because they relentlessly and repeatedly bombard one's
will until it gives in.
d. Relapse only occurs when people in recovery again start experiencing
physical and/or psychological cravings that had gone away.
Chapter 3 – Addiction and Habit: Resources in Aquinas (p. 57-81)
7. A habit is a relatively permanent acquired modification of a person that
enables the person, when provoked by the relevant stimulus, to act
consistently, successfully and ____ with respect to some objective.
b. with ease
d. with deliberative reasoning
8. Which is NOT true about habits?
a. A habit is neither an instinct nor a disposition, but it mediates
between the two.
b. Habitual actions can usually be stopped simply by performing an act of
c. Habits usually cannot be changed without great effort.
d. If a behavior is not yet deeply entrenched and can be rooted out simply
by recognizing that it is problematic, it is likely not a habit but a mere
9. Which is NOT true about habits?
a. A habit mediates between the extremes of determinism and voluntarism.
b. A habit is like second nature because it proceeds from the agent
effortlessly and without exertion of will, apparently "naturally."
c. A habit mediates between the voluntary and the involuntary.
d. Actions are things we make happen,
and emotions are things that happen to us.
10. Which is NOT true?
a. The habituation of the cognitive estimation is the single most
powerful component of addiction and the addictive experience.
b. Repetition of acts alone is sufficient to produce habits.
c. Aquinas says that habits form when two conditions are met. First, the
external act must be repeated. Second, there must be appropriate attention
to the interior quality of the act, referring to one's intentions and
d. Relapse can occur after years of sobriety if a person in recovery does
not continue working the spiritual steps.
Chapter 4 – Addiction and Intemperance: Sensory Pleasures and Moral Goods
11. It is simultaneously true that an addicted person loses direct control
over his choices and yet still be held responsible for his actions. How can
this be true?
a. Addicted persons are responsible for mastery habits, which are
exercised only through rational consciousness or volition, but not for
automation habits, which can be exercised in the absence of rational
b. Although addicted persons lack the resources necessary to exercise
enduring control over their addictive behavior, they possess the resources
to act indirectly in such ways as to eventually develop the habits needed to
make such enduring control a reality. This is in keeping with Alcoholics
Anonymous which claims that addicted persons lack immediate control over
their behavior and yet can regain that control.
c. An addicted person can at any time use his will to override automation
habits, since actions that flow from automation habits are voluntary.
d. All of the above.
12. _____ is the inordinate love of certain objects for reasons other than
13. Sensory miseries such as memory loss, blackouts, vomiting, dry heaves,
and being deathly ill, do not deter addicted persons from pursuing their
addicted objects because these objects are believed to offer a type of moral
and intellectual goods such as improving one's ability to communicate, being
at ease with oneself, being unafraid, and being part of a community.
14. ____ pursues sensory goods, ____ pursues moral and intellectual goods.
a. Intemperance, hedonism
b. Hedonism, intemperance
c. Addiction, intemperance
d. Intemperance, addiction
15. Addictions are like virtues and vices in that both virtues and vices are
habits which empower persons to pursue what they think is the good life.
Chapter 5 – Addictions and Morality: The Addict as Unwitting Prophet (p.
16. In contrast to the Greek polis,
modern life is characterized by the absence of
a. intellectual thought and discourse.
b. the importance of family life.
c. any mutually held account of the good life for persons.
d. participation in grass roots political activities.
believed that the good life consisted of moral and intellectual virtues
which have the ultimate goal of
a. serving and contemplating God.
b. having a loving family.
c. cultivating true friendships.
d. producing a harmonious and peaceful government.
18. Which statement would the author NOT agree with?
a. One reason why people get addicted is because modern life promotes
too many arbitrary choices without any ultimate rationale for those choices.
b. One reason why people get addicted is because they are bored, and they
are bored because they do not know what their purpose for living is.
c. One reason why people get addicted is
because they don't have interesting hobbies.
d. One reason why people get addicted is because they are lonely.
19. For Aristotle, the primary benefit of friendship is _____.
a. growth in virtue.
c. the advancement of local commerce.
d. companionship, doing common activities together.
Chapter 6 -- Addiction and Sin: Testing and Ancient Doctrine (p. 125-140)
20. The modern tendency within the addiction-recovery movement, Alcoholics
Anonymous being one example, has been to replace the Christian language of
sin with the language of disease and sickness. The author argues that this
has been done for two reasons: (1) So recovering alcoholics who were not
Christian or who were adverse to Christianity would not be put off from
their recovery by the language of sin, and 2) So recovering alcoholics would
not be tempted to think they could fix their own drinking problem through
straightforward moral exertion.
Yet the author goes on to show how this change was based on a faulty
understanding of the Christian doctrine of sin, that sin is something we ARE
more than just things we DO. It is our nature to chose sin over goodness,
while at the same time we are responsible for our sinning.
The author then describes a striking similarity between the Christian
doctrine of sin and the testimonies of addicted persons. Which comparison
does he make?
a. People with addictions claim that their addictive behavior is
admittedly destructive yet, in some very real sense, beyond the immediate
control of their willpower. Similarly, the doctrine of sin teaches that
human beings act in ways that are destructive of right relationship with God
yet those actions often flow out of habits and fundamental orientations that
are not amenable to reform through immediate exertion of will.
b. Addicted persons do not merely perform certain kinds of actions but
rather become certain kinds of people, acting out of bad habits. Similarly,
the doctrine of sin claims that sinners are not merely people who commit
sinful acts but are rather people whose character is sinful, acting out of
c. Persons with addictions claim that they are predisposed to addictions,
that something about their material or psychological makeup inclines them
toward addictive behavior prior even to the first addictive act. Similarly
the doctrine of original sin teaches that sinners are not merely people who
commit sinful acts, not merely even people who form sinful habits, but are
people who are predisposed to sin.
d. All of the above.
21. The primary purpose in restoring the language of sin to the language of
addiction is to show how addiction
a. damages our physiological functioning.
b. restricts our freedom.
c. disrupts our proper relation to God.
d. makes us unproductive members of society.
Chapter 7 – Addiction and Worship: Caritas and Its Counterfeits (p.
says that Aristotle argues that the best human life is to be achieved
through the development of moral and intellectual virtues and the
practical activities that these virtues facilitate -- activities like
raising a family, developing friendships, and governing cities.
Aristotle also declared that the only activity truly fitting to the life
of human flourishing is the practice of
theoria, the contemplation
and service of the divine. But Aristotle fails to explain how to
integrate the life of practical action with the contemplation and
service of God, or to put it another way, how to integrate the human
pursuit of immanent and transcendent happiness. The author states that
our post-Christian modern world is either suspicious of or rejects
transcendence and that the rise in addictions is a result of this
rejection of transcendence, or the contemplation and service of God. The
author says that Aquinas' answer to integrating the immanent with the
transcendent is charity, which directs us to love God and to love other
22. Addiction is
a counterfeit form of worship because
a. the addicted person organizes his entire life around his addiction.
b. to the addict, everything else in life makes sense only if it is
accompanied by his addiction.
c. addicts do not pursue fulfillment though moderation, but they pursue
ecstasy through excess.
d. All of the above.
23. The harder an alcoholic tries
to exert control over her addiction, the more she solidifies and entrenches
the addiction. The harder she tries not to drink, the more certain becomes
24. Working the twelve steps of
recovery in Alcoholics Anonymous is effective not because A.A. promotes the
direct use of willpower, but because A.A. helps the recovering person become
the kind of person who no longer perceives the world in terms of alcohol.
A.A. helps people not so much to quit drinking as how to live sober.
Chapter 8 – Addiction and the Church: The Gospel and the Hope of Recovery
25. Is there anything the author
would change about the Twelve Steps of Alcoholics Anonymous?
addicts to stop admitting that they are helpless to overcome their
b. For recovering addicts to stop calling themselves "repentant sinners."
c. For addicts to stop confessing their sins to everyone they offended.
d. For addicts not to fashion a God "as we understand him", but to follow
the triune God of Israel who became incarnate in Jesus of Nazareth.