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This book examines the interactions and dynamics between one cross-border joint-university and its social environment in the process of institutional transplantation and organizational adaptation. This study specifically demonstrates the interplays between the joint-university and its key players, including partners, government, market, parents, and the general public. By examining a variety of tensions between the joint-university and its key social actors, this research suggests a concept of "organizational dilemma" to capture the characteristics embedded in cross-border joint-universities in mainland China, and as an analytical model to unpack the tensions giving rise to the dilemmatic feature.