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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 do Josef and Lou have their second meeting?

2. When Breuer reads Nietzsche's books, what does he do with them?

3. Why is Josef Breuer in Venice?

4. During their second meeting, what picture does Lou show Josef?

5. When Breuer reads Nietzsche's books, what does he find in the margins?

Short Essay Questions

1. What expectations does Breuer have concerning Nietzsche?

2. How does Breuer's relationship with Bertha immediately bring a conflict to the story?

3. What can readers infer about the effort of so many people working to get Nietzsche into treatment?

4. Are Elisabeth's actions helping or hurting Nietzsche and why?

5. Why would Nietzsche be so open about his physical ailments but so reserved about his mental ones?

6. Why would Freud and Josef use fake names when talking about people?

7. What could Breuer's dream about Bertha mean?

8. What are Nietzsche's motives behind asking the three questions?

9. How does Freud help in Nietzsche's diagnosis and treatment?

10. What does Nietzsche's exclamation "hope is the final evil" explain about him?

Essay Topics

Write an essay for ONE of the following topics:

Essay Topic 1

How does the novel's setting influence the medical beliefs and actions of the characters?

Essay Topic 2

What is the overall theme of this novel? Why?

Essay Topic 3

How does Breuer's control over situations at his office and at the hospital differ? Why would this be?

(see the answer keys)

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