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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. Where does James tell his brother he wants to go when he is out of the clinic?

2. Why are James' parents coming to the clinic to see him?

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

4. What does James receive when he talks to Joanne about his moment of clarity in the woods?

5. What is the condition Roy suffers from?

Short Essay Questions

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

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

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

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

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

6. Why does James wake up in the middle of the night at the beginning of Chapter 12?

7. What is the secret James reveals to the priest as he is reading his confession aloud?

8. What does James tell Joanne privately about his Fury in relation to his parents?

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

10. Describe the new arrival to the Clinic, Michael.

Essay Topics

Write an essay for ONE of the following topics:

Essay Topic 1

When James' brother and his friends visit James in the clinic, James is affected deeply by their interactions.

Part 1: Describe the scene in which James receives a visit from his brother and his brother's friends.

Part 2: What do James' brother and friends bring with them to give to James?

Part 3: How does this visit affect James? What does he do as a result of their visit?

Essay Topic 2

The power of addiction is shocking in this story. From the details of James' past to his injuries in the beginning, it seems the grisly truth about addiction is worse than movies have led us to believe.

Part 1: Describe the opening scene and James' state when he gets off the airplane.

Part 2: Why do you think the details were included in this story? Do you think the addiction would have been less believable without the details? Why or why not?

Part 3: What part of the story shocked you the most? Why did it shock you?

Essay Topic 3

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?

(see the answer keys)

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