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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 other movie does Elizabeth cry at continuously when she is younger?

2. Who takes care of Elizabeth after Rafe breaks up with her?

3. "Everything I touch, I ruin. I'm ______________."

4. What does Dr. Sterling talk about with Elizabeth's father?

5. What is Elizabeth studying at Harvard?

Short Essay Questions

1. Describe Elizabeth's first conversation with Rafe on the phone. Why does she say she's calling him? Why do they continue talking?

2. What does Elizabeth's mother think Elizabeth should do to get better? What does Dr. Sterling suggest instead and why?

3. What does Barnaby expect because he shows her around town and picks her up from the airport?

4. What does Dr. Sterling think that Elizabeth must continue to do while at Stillman Infirmary?

5. What does Elizabeth find ironic about her decision to find a new psychologist?

6. Why does Elizabeth say she carries a lot of stuff with her at all times?

7. Why does Dr. Sterling give Elizabeth Mellaril, the antipsychotic known to help schizophrenics?

8. What happens as soon as Elizabeth lands in Gatwick?

9. Describe the apartment that Elizabeth moves into after her stay in Dallas.

10. How does Elizabeth describe the difference between madness and depression in relation to literature?

Essay Topics

Write an essay for ONE of the following topics:

Essay Topic 1

Secondary characters play a large role in Elizabeth's life at various times. Choose at least 5 different secondary characters and explain their significance at crucial moments in Elizabeth's life. What would have changed for Elizabeth if they had not been there? Were they positive influences or negative ones? Do you think they understood how sick Elizabeth truly was with depression at the time? Why or why not?

Essay Topic 2

Wurtzel jumps from doctor to doctor when her mental health begins to deteriorate at age 12. What kind of impact do you think this has on her development and diagnosis of the disease? Do you think the impact is positive or negative? Why? Use specific examples with various doctors to support your theory.

Essay Topic 3

Elizabeth's writing style in the book is unusual. She will jump from a standard font to an italicized one. What impact does this have for the reader? Does it change the tone of the novel? Why or why not? What contribution does it make for the overall story? Does it encourage the reader to relate more to Elizabeth or feel more disconnected from her? Use specific examples from the novel to support your statements.

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