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 The public response to excessive drinking has been a mix of two general approaches: Directly reduce drinking + restrict availability/raise prices Indirectly reduce drinking + increase availability Directly reduce drinking + lower price None of the above Early in U.S. history, Alexander Hamilton proposed a ____________ to decrease heavy drinking Prohibition A whiskey tax Abstinence None of the above Dr. E. M. Jellinek was a researcher that: Is considered the godfather of the alcoholism movement Identified small portions of the population vulnerable to alcohol 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 All of the above Drinkers are: Better educated, richer, less ambivalent Poorly educated, poorer, ambivalent Exactly the same None of the above Federal funding for research and treatment of alcoholism expanded and became institutionaliz.

1. 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

2. 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
The public response to excessive drinking has been a mix of two
general approaches:
Directly reduce drinking + restrict availability/raise prices
Indirectly reduce drinking + increase availability
Directly reduce drinking + lower price
None of the above
Early in U.S. history, Alexander Hamilton proposed a
____________ to decrease heavy drinking
Prohibition
A whiskey tax
Abstinence
None of the above

3. Dr. E. M. Jellinek was a researcher that:
Is considered the godfather of the alcoholism movement
Identified small portions of the population vulnerable to alcohol
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
All of the above
Drinkers are:
Better educated, richer, less ambivalent
Poorly educated, poorer, ambivalent
Exactly the same
None of the above
Federal funding for research and treatment of alcoholism
expanded and became institutionalized with the creation of :
Alcoholics Anonymous (AA)
National Institute on Alcoholism and Alcohol Abuse (NIAAA)
Narcotics Anonymous (NA)
None of the above

4. Today, the “neo-prohibitionist” label suggests people that:
Are moralistic and naïve
Seek to reduce alcohol abuse by advocating controls on supply
and higher taxes
Promote deregulation
Both a and b
At the time of the Civil War liquor was used for:
Drinking
Fluid for lamps
Industrial products
All of the above
The national prohibition was popularly known as the:
Volstead Act
Wilson Act
Webb-Kenyon Act
Reed Act
Enforcement of the Volstead Act was done by:
Congress
President
Treasury Department

5. Homeland Security
The class of people that maintained the same level of drinking
throughout Prohibition was:
Middle and Upper class
Working class
Poor
None of the above
The most successful self-help organization of our time is:
Alcoholics Anonymous
Narcotics Anonymous
Al-Anon
Marijuana Anonymous
E. Morton Jellinek:
Identified 5 varieties of alcoholism
Wrote “The Disease Concept of alcoholism”
Offered a science-based understanding of alcoholism
All of the above

6. ______________ 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:
George Vaillant
E.M. Jellinek
Stanton Peele
Herb Finagarette
The case for a genetic basis to alcoholism is strengthened by the
observation:
Identical twins are more alike with respect to the presence or
absence of alcoholism than are fraternal twins
Fraternal twins are more alike with respect to the presence or
absence of alcoholism than are identical twins
Identical and fraternal twins are equally alike with respect to
the presence of alcoholism
Identical and fraternal twins are equally alike with respect to
the absence of alcoholism
Project Match was an evaluation study that:
Involved a 12 week period of individual outpatient sessions
Randomly assigned patients to 1 of 3 approaches

7. Evaluated cognitive-behavioral, motivational enhancement, and
12 step facilitation therapies
All of the above
An intrinsic limitation to the medical approach is that:
It is not only alcoholics that cause and suffer abuse by their
drinking
No treatment requires voluntary compliance
Prevention drugs are always effective
All of the above
From a population-health perspective:
Data on overall alcohol sales is irrelevant
Data on the entire distribution of consumption is of interest
Neither abstinence or heavy drinking have health implications
All of the above
Generally, it is easier to estimate ____________ consumption
with some degree of accuracy
Individual
The distribution of individual drinking
Aggregate
None of the above
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

8. capita sales:
Half
Double
Equal
None of the above
The prevalence of drinking peaks in the early ________ for both
males and females:
Teens
20’s
30’s
40’s
In classical liberal thought, a choice is of greater public concern
if the resulting harm is to:
The person making the choice
Bystanders
Society overall
Both a and b
Public health stands closer to a __________ ethic of social
justice
Communitarian
Individualistic

9. Liberal
Conservative
A wide array of experiments document that ____________ of
consequence occurrence
seems to contradict the presumption of a rational choice
Severity
Timing
Order
Lack
The liberal tradition embodied in the harm principle claims to
promote the greatest good by:
Leaving the adult individual free to make his own choices as
long as others are not harmed
Promoting improvement of choices by government regulation
Denies the intrinsic value of freedom
None of the above
Information provision includes:
Warning labels on alcoholic beverages
Public service ads on television and radio
Alcohol curriculums in school health classes
All of the above
The Willingness to Pay (WTP) method contends:
The value of a persons life and health is measured by the value
placed on enjoying a safe environment

10. Enjoyment is subjective and involves decisions that require
judgment about the value of small increases or reductions in the
probability of death
Both a and b
Neither a or b
The beer industry contends that it:
Directly and indirectly employs approximately 1.78 million
Americans with 54 billion in wages and benefits
Has an economic ripple effect that benefits packaging
manufacturers, shipping companies, agriculture, and other
business’s that depend on it
Both a and b
Neither a or b
The economist Gary Beaker defined the optimal crime rate as:
Zero crime
The rate associated with a balancing of marginal costs and
benefits of law enforcement
Both a and b
Neither a or b
In reference to alcohol control measures, the federal
government:
Licenses and collects excise taxes from importers and
manufacturers

11. Monitors product purity
Polices illegal production and trafficking
All of the above
In 2005, the Supreme Court ruled that states could ban direct
shipment of wine:
For out of state producers only
For in state producers only
For out of state producers only if they did the same for in state
producers
None of the above
Taxes have unique advantages as alcohol-control measures since
they:
Help control alcohol abuse and its consequences without a
direct restriction on freedom of choice
Provide a possibility for a calibrated response to the cost of
alcohol related problems by being set high, low, or anywhere in
between
Enhance public revenues
All of the above
Federal and state excise taxes:
Are unit taxes defined in terms of volume rather than product

12. value
Are paid by the manufacturer or distributor
Have no automatic inflation protection
All of the above
A number of empirical studies have found that alcohol and
marijuana are:
Substitutes
Complements
Not related
All of the above
Alcohol taxes are “regressive” taxes in that:
On average a larger percentage of the income of poorer
households goes to pay this tax than in richer households
On average a smaller percentage of the income of poorer
households goes to pay this tax than in richer households
On average the same percentage of the income of poorer
households goes to pay this tax than in richer households
None of the above
A 1985 literature summary concludes:
Most drinkers prefer beer and those drinkers are more likely to
drink/drive

13. Beer is disproportionately preferred by higher risk groups
Both a and b
Neither a or b
In addition to alcohol control there are two other vital
approaches for public intervention:
Time, place, and circumstances + harm reduction
Time, place, and circumstances + abstinence
Alcoholics Anonymous + Disease Model
None of the above
Harm reduction:
Helps make the world less safe for drunks
Has goal to ease some of the natural consequences of excessive
drinking
Demands total abstinence
All of the above
The federal government has pushed for additional restrictions
on youthful drinking by:
Requiring campuses and military installations to enforce the
minimum legal drinking age laws
Having states adopt zero tolerance for teen drivers
Both a and b
Neither a or b

14. True or False Questions – 2 points each
During the last half century, the public policy to reduce
excessive drinking has largely neglected restricting availability
and raising the price of alcohol.
Congress adopted a national minimum drinking age of 21 in the
hope of reducing the fatal accident rate for teen drivers.
In the 1880’s, the Women’s Christian Temperance Union
denounced alcohol itself as the problem, rather than the abuse
of it.
Dr. Edward Jellinek recognized the importance of social context
in the development of alcoholism.
Effective alcohol prevention programs address only the issues
of those community members dependent on alcohol.

15. Alcohol taxes have received far more attention by state
legislatures than cigarette taxes.
Over twice as many Americans drink as smoke.
Prohibition was established by the 18
th
Amendment.
According to the textbook, Prohibition was destined to failure
as it attempted to legislate morality.
The Volstead act banned all beverages containing more than
10% alcohol.
By the late 1920’s, one million gallons of Canadian liquor made
its way into the U.S. per year.
The Women’s organization for National Prohibition Reform
campaigned to strictly enforce Prohibition.
51.
The economist Warburton contends that the business,

16. 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.

17. 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.

18. 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.

19. 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

20. 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.

21. 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.

22. 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.

23. 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.

24. 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.