The final examination format is take-home and open book/resources and will cover all material presented in the class in order to determine how well you have grasped key concepts. The final will be posted in the classroom at midnight on the first day of the last week of the term. Your completed final should be posted in the Assignments Folder by no later than 11:59:59 p.m. EST on the due date. The Assignments folder will lock promptly at midnight. Late work will not be accepted, except in cases of emergency. Extensions will be considered on a case-by-case basis and require documentation.

All questions can be answered using your online in-class materials. It should not be necessary to use other sources.

Students are expected to adhere to UMUC’s Code of Conduct. You may not consult with other individuals (e.g., classmates, family members, co-workers) to complete your exams or papers. Known violations will be reported to the provost’s office for disciplinary action in accordance with UMUC policy.

The final exam is 92 mixed format questions. Please start the exam ASAP as it is a comprehensive learning experience that requires significant effort. It comprises 25% of your overall grade.

The Multiple Choice and True/ False questions are drawn from the assigned online readings Chapters 1-4, 9-11, 13 Paying the Tab: The costs and benefits of alcohol control.

The essay questions are drawn from the other weekly assigned readings.

Pay close attention to the high point value for the essay questions and plan an appropriate amount of work reflective of the questions point value.

For the essays, Read, Relect, and Write. Do not cut and paste or reproduce the assigned readings word for word. Even when cited it is not permissable to reproduce word for word the reading as an answer to the question. Display your personal  understanding of these concepts in the essays.

BEHS 364 SEC 6380 SEM 2158                                                      Final Examination

 

 

 

Alcohol in U. S. Society                                                                     UMUC 2015

 

 

 

 

 

Match Questions – 4 points each

 

 

 

1. The public response to excessive drinking has been a mix of two general approaches:
1. Directly reduce drinking + restrict availability/raise prices
2. Indirectly reduce drinking + increase availability
3. Directly reduce drinking + lower price
4. None of the above

 

 

 

 

 

1. Early in U.S. history, Alexander Hamilton proposed a ____________ to decrease heavy drinking
1. Prohibition
2. A whiskey tax
3. Abstinence
4. None of the above

 

 

 

 

 

1. Dr. E. M. Jellinek was a researcher that:
1. Is considered the godfather of the alcoholism movement
2. Identified small portions of the population vulnerable to alcohol
3. Suggested that someone with the innate propensity for alcoholism would actually develop the disease depends in part on living in an alcohol wet or dry environment
4. All of the above

 

 

 

 

 

1.  Drinkers are:
1. Better educated, richer, less ambivalent
2. Poorly educated, poorer, ambivalent
3. Exactly the same
4. None of the above

 

 

 

 

 

1. Federal funding for research and treatment of alcoholism expanded and became institutionalized with the creation of :
1. Alcoholics Anonymous (AA)
2. National Institute on Alcoholism and Alcohol Abuse (NIAAA)
3. Narcotics Anonymous (NA)
4. None of the above

 

 

 

1. Today, the “neo-prohibitionist” label suggests people that:
1. Are moralistic and naïve
2. Seek to reduce alcohol abuse by advocating controls on supply and higher taxes
3. Promote deregulation
4. Both a and b

 

 

 

 

 

1. At the time of the Civil War liquor was used for:
1. Drinking
2. Fluid for lamps
3. Industrial products
4. All of the above

 

 

 

 

 

1. The national prohibition was popularly known as the:
1. Volstead Act
2. Wilson Act
3. Webb-Kenyon Act
4. Reed Act

 

 

 

 

 

1. Enforcement of the Volstead Act was done by:
1. Congress
2. President
3. Treasury Department
4. Homeland Security

 

 

 

 

 

1. The class of people that maintained the same level of drinking throughout Prohibition was:
1. Middle and Upper class
2. Working class
3. Poor
4. None of the above

 

 

 

 

 

1. The most successful self-help organization of our time is:
1. Alcoholics Anonymous
2. Narcotics Anonymous
3. Al-Anon
4. Marijuana Anonymous

 

 

 

 

 

 

 

 

 

1. E. Morton Jellinek:
1. Identified 5 varieties of alcoholism
2. Wrote “The Disease Concept of alcoholism”
3. Offered a science-based understanding of alcoholism
4. All of the above

 

 

 

 

 

1. ______________ was another proponent of the disease model who suggested that uncontrolled, maladaptive ingestion of alcohol is not a disease in the sense of a biological disorder; rather alcoholism is a disorder of behavior:
1. George Vaillant
2. E.M. Jellinek
3. Stanton Peele
4. Herb Finagarette

 

 

 

 

 

1. The case for a genetic basis to alcoholism is strengthened by the observation:
1. Identical twins are more alike with respect to the presence or absence of alcoholism than are fraternal twins
2. Fraternal twins are more alike with respect to the presence or absence of alcoholism than are identical twins
3. Identical and fraternal twins are equally alike with respect to the presence of alcoholism
4. Identical and fraternal twins are equally alike with respect to the absence of alcoholism

 

 

 

 

 

1. Project Match was an evaluation study that:
1. Involved a 12 week period of individual outpatient sessions
2. Randomly assigned patients to 1 of 3 approaches
3. Evaluated cognitive-behavioral, motivational enhancement, and 12 step facilitation therapies
4. All of the above

 

 

 

 

 

1. An intrinsic limitation to the medical approach is that:
1. It is not only alcoholics that cause and suffer abuse by their drinking
2. No treatment requires voluntary compliance
3. Prevention drugs are always effective
4. All of the above

 

 

 

1. From a population-health perspective:
1. Data on overall alcohol sales is irrelevant
2. Data on the entire distribution of consumption is of interest
3. Neither abstinence or heavy drinking have health implications
4. All of the above
2. Generally, it is easier to estimate ____________ consumption with some degree of accuracy
1. Individual
2. The distribution of individual drinking
3. Aggregate
4. None of the above

 

 

 

 

 

1. The 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) provided an estimate of pro capita consumption that vis about __________ of recorded pro capita sales:
1. Half
2. Double
3. Equal
4. None of the above

 

 

 

 

 

1. The prevalence of drinking peaks in the early ________ for both males and females:
1. Teens
2. 20’s
3. 30’s
4. 40’s

 

 

 

 

 

1. In classical liberal thought, a choice is of greater public concern if the resulting harm is to:
1. The person making the choice
2. Bystanders
3. Society overall
4. Both a and b

 

 

 

 

 

1. Public health stands closer to a __________ ethic of social justice
1. Communitarian
2. Individualistic
3. Liberal
4. Conservative

 

 

 

 

 

1. A wide array of experiments document that ____________ of consequence occurrence  seems to contradict the presumption of a rational choice
1. Severity
2. Timing
3. Order
4. Lack
2. The liberal tradition embodied in the harm principle claims to promote the greatest good by:
1. Leaving the adult individual free to make his own choices as long as others are not harmed
2. Promoting improvement of choices by government regulation
3. Denies the intrinsic value of freedom
4. None of the above

 

 

 

1. Information provision includes:
1. Warning labels on alcoholic beverages
2. Public service ads on television and radio
3. Alcohol curriculums in school health classes
4. All of the above

 

 

 

1. The Willingness to Pay (WTP) method contends:
1. The value of a persons life and health is measured by the value placed on enjoying a safe environment
2. Enjoyment is subjective and involves decisions that require judgment about the value of small increases or reductions in the probability of death
3. Both a and b
4. Neither a or b

 

 

 

1. The beer industry contends that it:
1. Directly and indirectly employs approximately 1.78 million Americans with 54 billion in wages and benefits
2. Has an economic ripple effect that benefits packaging manufacturers, shipping companies, agriculture, and other business’s that depend on it
3. Both a and b
4. Neither a or b

 

 

 

 

 

1. The economist Gary Beaker defined the optimal crime rate as:
1. Zero crime
2. The rate associated with a balancing of marginal costs and benefits of law enforcement
3. Both a and b
4. Neither a or b

 

 

 

 

 

1. In reference to alcohol control measures, the federal government:
1. Licenses and collects excise taxes from importers and manufacturers
2. Monitors product purity
3. Polices illegal production and trafficking
4. All of the above

 

 

 

 

 

1. In 2005, the Supreme Court ruled that states could ban direct shipment of wine:
1. For out of state producers only
2. For in state producers only
3. For out of state producers only if they did the same for in state producers
4. None of the above

 

 

 

 

 

1. Taxes have unique advantages as alcohol-control measures since they:
1. Help control alcohol abuse and its consequences without a direct restriction on freedom of choice
2. Provide a possibility for a calibrated response to the cost of alcohol related problems by being set high, low, or anywhere in between
3. Enhance public revenues
4. All of the above

 

 

 

 

 

1. Federal and state excise taxes:
1. Are unit taxes defined in terms of volume rather than product value
2. Are paid by the manufacturer or distributor
3. Have no automatic inflation protection
4. All of the above

 

 

 

 

 

1. A number of empirical studies have found that alcohol and marijuana are:
1. Substitutes
2. Complements
3. Not related
4. All of the above

 

 

 

 

 

1. Alcohol taxes are “regressive” taxes in that:
1. On average a larger percentage of the income of poorer households goes to pay this tax than in richer households
2. On average a smaller percentage of the income of poorer households goes to pay this tax than in richer households
3. On average the same percentage of the income of poorer households goes to pay this tax than in richer households
4. None of the above

 

 

 

 

 

1. A 1985 literature summary concludes:
1. Most drinkers prefer beer and those drinkers are more likely to drink/drive
2. Beer is disproportionately preferred by higher risk groups
3. Both a and b
4. Neither a or b

 

 

 

 

 

1. In addition to alcohol control there are two other vital approaches for public intervention:
1. Time, place, and circumstances + harm reduction
2. Time, place, and circumstances + abstinence
3. Alcoholics Anonymous + Disease Model
4. None of the above

 

 

 

 

 

1. Harm reduction:
1. Helps make the world less safe for drunks
2. Has goal to ease some of the natural consequences of excessive drinking
3. Demands total abstinence
4. All of the above

 

 

 

1. The federal government has pushed for additional restrictions on youthful drinking by:
1. Requiring campuses and military installations to enforce the minimum legal drinking age laws
2. Having states adopt zero tolerance for teen drivers
3. Both a and b
4. Neither a or b

 

 

 

 

 

True or False Questions – 2 points each

 

 

 

 

 

1. During the last half century, the public policy to reduce excessive drinking has largely neglected restricting availability and raising the price of alcohol.

 

 

 

1. Congress adopted a national minimum drinking age of 21 in the hope of reducing the fatal accident rate for teen drivers.

 

 

 

1. In the 1880’s, the Women’s Christian Temperance Union denounced alcohol itself as the problem, rather than the abuse of it.

 

 

 

1. Dr. Edward Jellinek recognized the importance of social context in the development of alcoholism.

 

 

 

1. Effective alcohol prevention programs address only the issues of those community members dependent on alcohol.

 

 

 

1. Alcohol taxes have received far more attention by state legislatures than cigarette taxes.

 

 

 

1. Over twice as many Americans drink as smoke.
2. Prohibition was established by the 18^th Amendment.

 

 

 

1. According to the textbook, Prohibition was destined to failure as it attempted to legislate morality.

 

 

 

1. The Volstead act banned all beverages containing more than 10% alcohol.

 

 

 

1. By the late 1920’s, one million gallons of Canadian liquor made its way into the U.S. per year.

 

 

 

1. The Women’s organization for National Prohibition Reform campaigned to strictly enforce Prohibition.

 

 

 

51.  The economist Warburton contends that the business, professional, and salaried class sustained their average pre-prohibition alcohol consumption levels throughout prohibition.

 

 

 

52.  Jellinek’s designation of alcoholism as a “disease” was a new idea.

 

 

 

53.  The AA tenet is that alcoholics are “allergic” to alcohol.

 

 

 

54.  The disease label may help to remove the stigma associated with alcoholism.

 

 

 

55.  Vaillant noted undergoing detoxification as a marker for those early on the continuum of alcohol related problems.

 

 

 

56.  The “flushing response” is common among some African populations.

 

 

 

57.  Biology is irrelevant to alcoholism.

 

 

 

58.  Inpatient treatment programs are the least costly form of alcoholism treatment.

 

 

 

59.  Cognitive behavioral therapy seeks to develop the patient’s coping skills.

 

 

 

60.  12-step facilitation identifies and disputes the patient’s irrational belief system.

 

 

 

61.  The drug disulfuran (Antabuse) has proven to be of major therapeutic benefit in curing alcoholism.

 

 

 

62.  3.4% of the adult public is currently dependent by DSM-V definition.

 

 

 

63.  Prevention of harmful drinking patterns and alcoholism prevention efforts are unimportant today.

 

 

 

64.  Beers are fermented from grains before the starch in them is converted to sugar.

 

 

 

65.  Distilled spirits contain between 40% and 50% alcohol.

 

 

 

66.  A standard drink of beer (12oz.), wine (5 oz.), or distilled spirits (1.5oz.) provides the same dose of alcohol.

 

 

 

67.  Surveys tend to overestimate alcohol consumption by a wide margin.

 

 

 

68.  The heaviest drinkers account for the bulk of alcohol consumption.

 

 

 

69.  The heaviest drinkers are of little consequence to the sales and profitability of the alcohol beverage industry.

 

 

 

70.  Blacks are more likely to report drinking than Hispanics or Whites.

 

 

 

71.  People with college degrees are less likely to drink.

 

 

 

72.  People in the two highest income brackets are more likely to drink than those in the lowest income group.

 

 

 

73.  Youths drink more than the elderly.

 

 

 

74.  The use of government authority to restrict commerce and choice in the name of enhancing safety is universally accepted and approved in the U.S.

 

 

 

75.  The threshold for intervention by government should rightly be lower than the threshold for intervention by employers and friends.

 

 

 

76.  The individualistic perspective was suggested by President Kennedy when he stated, “ask not what your country can do for you – ask what you can do for your country.”

 

 

 

77.  A negative externality occurs when effects are harmful.

 

 

 

78.  Self – Management is a costly and imperfect craft, and some people are better at it than others.

 

 

 

79.  The “moral hazard” effect is an intended and desired consequence of harm reduction.

 

 

 

80.  The cost of illness (COI) method is generally preferred over the willingness to pay (WTP) by economists for translating injury and death into dollars.

 

 

 

81.  Our willingness to pay for enhanced safety for ourselves and loved ones comprises the entire picture since we have no financial stake in the health and safety of strangers.

 

82.  Individual production and consumption are consistent and remain the same over life course.

 

 

 

83.  Alcohol is currently under-taxed and in some respects under-regulated.

 

 

 

84.  Taxes and other restrictions on alcohol supply are indiscriminate.

 

 

 

85.  The array of DUI interventions championed by MADD and other advocacy groups has had no effect on DUI incidence and fatality rates.

 

 

 

86.  Alcohol taxes are now too low.

 

 

 

87.  Lower alcohol prices are conducive to lower rates of underage drinking.

 

 

 

 

 

 

 

 

 

Essay Questions – 50 points each

 

 

 

 

 

 

 

88.  Describe in detail the effects of alcohol and other substance use on intimate partner violence. Detail its prevalence, epidemiology, and critical issues. Explain the various relationships between alcohol/substance use and intimate partner violence. Include an explanation of the association between chronic substance abuse and intimate partner violence as well as its impact.

 

 

 

 

 

89.  Describe in detail the 6 assessment dimensions of the ASAM patient placement criteria. Discuss their impact on proper placement and treatment planning.

 

 

 

 

 

90.  Describe Alcoholics Anonymous (AA), its origins, history, and development. Detail the AA program of recovery, philosophy, and how it works.

 

 

 

 

 

91.  Describe in detail group therapy. Include a discussion of its curative factors, history, and processes. Note the various types of therapy groups and how they work.

 

 

 

 

 

92.  Describe in detail the Stages of Change denoting each stage and describing the paths and processes associated with this model and each stage.