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