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This test consists of 5 short answer questions, 10 short essay questions, and 1 (of 3) essay topics.

Short Answer Questions

1. What does James find out is his new sentence for the jail time he needs to do?

2. Whose screaming wakes James in the middle of the night?

3. What is James supposed to write on the goal board?

4. What was James holding in his hand when he walked out of the building with Lilly?

5. What is the nickname Roy has given to himself?

Short Essay Questions

1. What does Leonard ask of James when he walks him out of the Clinic?

2. What does James tell Joanne about the time he will know he has recovered from his addiction?

3. What has James' college girlfriend sent to him in the mail?

4. What do James' parents confess happened to James when he was a child?

5. What do James and Miles share about their struggles with shame?

6. What does Lilly tell James about his parents and about being thankful for them?

7. Who does James suspect is behind the reduction in his Ohio prison sentence?

8. What does James recall about fear as he is frightened and walks out into the woods?

9. Why does Lilly call to ask James to meet her in the woods?

10. Describe Matty Jackson, another patient in the clinic with James and Leonard.

Essay Topics

Write an essay for ONE of the following topics:

Essay Topic 1

The use of the 12-Step program is a big part of this clinic and its method of teaching recovery strategies.

Part 1: What are the first three steps of the 12-Step Program?

Part 2: Which patients in the clinic think the 12-Step program is essential? Why do they think this?

Part 3: What are James' feelings about the 12-Step program? How does he respond to utilizing it?

Essay Topic 2

The relationship between James and his parents is certainly one that people can relate to, and yet it still seems to be sad and stilted.

Part 1: Describe the relationship between James and his parents at the beginning of this novel.

Part 2: What are some of the things that are revealed in the family therapy sessions?

Part 3: Who seems to be at fault for the issues between James and his parents? Why did you choose the answer you did?

Essay Topic 3

The clinic has a strict policy that men and women are not supposed to interact with each other - but James and Lilly ignore this rule in favor of trying to help each other.

Part 1: How do James and Lilly meet initially in this story?

Part 2: What is Lilly's story as it relates to addictions and past traumas?

Part 3: Why do you think the clinic has this rule in the first place? Doesn't bonding with someone else help to speed up the healing process?

(see the answer keys)

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