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Like its predecessor, each unit in More Discussion Starters contains exercises that provide speaking interaction about a central topic or idea, and most require students to work together in pairs or small groups to reach a conclusion about a topic. Though most of the topics in the text are serious (corporal punishment, abortion, and gun control), many others deal with lighter topics (humor and culture). The activities, tasks, and topics chosen for this book are real situations from all over the world.

Most of the units in this book introduce a problem or controversial topic at the beginning of the unit. This is then followed by a series of exercises designed to prepare all of the students so that they can express their ideas at the next class meeting. A unit usually includes several kinds of oral fluency activities, such as problem-solving tasks, court cases, "finish the story," role plays, "put the story together," small group discussions, and oral presentations.