For this assignment, you will examine how learning theories can be used to understand persisting behavior, as well as how an understanding of these theories can help change behavior.  First, select a bad habit or undesired behavior that a person might want to change from the following lists:  procrastination, binge drinking, swearing, excessive caffeine consumption, chronic lateness, smoking, fear of speaking in public, or frequent road rage. Now, suppose a client has come to you because they want to understand and change their behavior.

 

Address the following sections in your Case Study Analysis:

 

(a) Identification of Behavior (Introduction paragraph)

  • Briefly describe the client’s undesired behavior that he/she would like to change.  Include details related to how long the behavior has persisted, the severity/frequency, and how it impacts the person’s life.

(b) Based on what you have learned about classical, operant, and social learning theories, develop three brief descriptions (less than one page each), describing how each of the theories could help explain the development and/or persistence of the undesired behavior.  Include terms and concepts related to theories that are most relevant in the plan for the client as indicated below.

  • Plan 1: How could classical conditioning explain the development and the persistence of the client’s undesired behavior?  Include in your discussion coverage of the relationship between and unconditional stimulus, unconditioned response, conditioned stimulus, and conditioned response.
  • Plan 2: How could operant conditioning explain the development and persistence of the client’s undesired behavior? Include discussion of shaping and reinforcers (positive and negative), as well as punishments.  How could operant conditioning be used to help lessen or change the behavior?
  • Plan 3: How could cognitive and social learning theories explain the development and persistence of the client’s undesired behavior?  In particular, discuss the role of latent learning, learned helplessness, vicarious reinforcement and/or vicarious punishment as applicable.

(c) Recommendation – Conclusion Section: Now that you have examined scenarios related to the persistence of the undesired behavior, consider how you would recommend the client change their behavior.  Select one of the learning theories above and describe how it could be used to help the client lessen and change the desired behavior.

 

Requirements: Length = approximately 3-4 pages.






BPO and Cloud Computing(Due Week 3)

Bob Smith, CEO of Smith’s Information Services, Inc., was studying the replacement of the company’s data center by an outside service. Smith’s Information Services, located in Lexington, Massachusetts, was in the midst of a corporate overhead reduction program. As part of this program, Bob had been assigned the task of reviewing opportunities in outside sourcing for data center services. He was expectinga report on this issue at the next executive meeting in three days.

Smith’s Information Services Cost Reduction Program

Smith’s Information Servicesis a $2 billion firm with sales in consumer information. It enjoyed high overall growth until fierce competition flattened sales and decreased profits sharply two years ago. Since then, corporate cost and overhead reduction efforts were widespread. The CIO was in charge of the data center and has been investigating the possibility of a business process outsourcing project that would move the data center to the cloud.
  • …….
    ….
Data Center

The data center at Smith’s Information Services was created in the mid-1980s and has grown very rapidly. Mainframes were installed first, followed by AS400s, and then servers that were rack mounted. Disk storage, at one time, was at a premium, but has since gone down in price. Cooling for the data center has gone up as more and more servers and disks were installed. This cost, along with the electricity cost to run all of the devices in the data center,has Bob Smith worried that the cost of doing business is getting out of control.

Along with the rising hardware and software costs, the number of employees needed to run this data center has grown considerably. The cost of running a data center 24/7 is becoming rather large, and this is another issue that Bob Smith is concerned about at the moment. The growth potential for the organization is very positive, which means that more data will be stored, which will result in higher costs in all areas of the data center unless cost savings are found.

Outside Services

The CIO has felt that this was coming sooner or later, and has already been quietly investigating the idea already. There are many options from which to choose, including: a local data center, a well-known data center, and a data center that is located overseas. Each of these solutions has pros and cons, and one big issue is the security of the data. Some of the other issues include service-level agreements that have to be hammered out, HR issues that will deal with the local and remote staff members, and other issues, such as informing or not informing the customer that Smith’s Information Services will be outsourcing the data somewhere.

Deadline

The CIO’s job is to gather as much data as possible from outside sources, analyze the data, and then come up with the best choice. The deadline will be the next executive monthly meeting, which meets in two weeks.

Your Assignment:

Assume that you are CIO. Prepare the analysis requested from Bob and be prepared to present it at the next executive monthly meeting.

  • …….
    ….






Brittany Callihan sold stock (basis of $184,000) to her son, Ridge, for $160,000, the fair market value.
a. What are the tax consequences to Brittany?
b. What are the tax consequences to Ridge if he later sells the stock for $190,000? For $152,000? For $174,000?
c. Write a letter to Brittany in which you inform her of the tax consequences if she sells the stock to Ridge for $160,000. Explain how a sales transaction could be structured that would produce better tax consequences for her. Brittany’s address is 32 Country
Lane, Lawrence, KS 66045.
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57. LO.3 The Robin Corporation is owned as follows:
Isabelle 26%
Peter, Isabelle’s husband 19%
Sonya, Isabelle’s mother 15%
Reggie, Isabelle’s father 25%
Quinn, an unrelated party 15%
Robin is on the accrual basis, and Isabelle and Peter are on the cash basis. Isabelle and Peter each loaned the Robin Corporation $40,000 out of their separate funds. On
December 31, 2013, Robin accrued interest at 7% on both loans. The interest was paid on February 4, 2014. What is the tax treatment of this interest expense/income to Isabelle,
Peter, and Robin?

58. LO.3 For each of the following independent transactions, calculate the recognized gain or loss to the seller and the adjusted basis to the buyer.
a. Bonnie sells Parchment, Inc. stock (adjusted basis $17,000) to Phillip, her brother, for its fair market value of $12,000.
b. Amos sells land (adjusted basis $85,000) to his nephew, Boyd, for its fair market value of $70,000.
c. Susan sells a tax-exempt bond (adjusted basis $20,000) to her wholly owned corporation for its fair market value of $19,000.
d. Ron sells a business truck (adjusted basis $20,000) that he uses in his sole proprietorship to his cousin, Agnes, for its fair market value of $18,500.
e. Martha sells her partnership interest (adjusted basis $175,000) in Pearl Partnership to her adult daughter, Kim, for $220,000.

59. LO.3 Murphy has a brokerage account and buys on the margin, which resulted in an interest expense of $20,000 during the year. Income generated through the brokerage account was as follows:
Municipal interest $ 50,000
Taxable dividends and interest 350,000
How much investment interest can Murphy deduct?

60. LO.1, 3, 4 During the current year, Robert pays the following amounts associated with his own residence and that of his daughter, Anne:
Property taxes:
On home owned by Robert $3,000
On home owned by Anne 1,500
Mortgage interest:
Associated with Robert’s home 8,000
Associated with Anne’s home 4,500
Repairs to:
Robert’s home 1,200
Anne’s home 700
Utilities:
Robert’s home 2,700
Anne’s home 1,600
Replacement of roof:
Robert’s home 4,000
a. Which of these expenses can Robert deduct?
b. Which of these expenses can Anne deduct?
c. Are the deductions for AGI or from AGI (itemized)?
d. How could the tax consequences be improved?

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Ethical Issues            page 153
The following is an extract from our textbook
Text Book: Levine, D.L., et al. Statistics for Managers Using Microsoft EXCEL w/Student CD Package 6/E.  Pearson, 2011.  0.13.703519.5

Ethical issues can arise when any statements related to probability are presented to the public, particularly when these statements are part of an advertising campaign for a product or service. Unfortunately, many people are not comfortable with the numerical concepts (see reference 4) and tend to misinterpret the meaning of the probability. IN some instances, the misinterpretation is not intentional, but in other cases, advertisements may unethically try to mislead potential customers.

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One example of a potentially unethical application of probability relates to advertisements for state lotteries. When purchasing a lottery ticket, the customer selects a set of numbers (such as) from a larger list of numbers (such as drawing 6 numbers from a set ranging from 1 through 49). Hence, 649, meaning choose any 6 numbers from a set of 49 numbers of any order. Although virtually all participants know that they are unlikely to win the lottery, they also have a very little idea of how unlikely it is for them to select all 6 winning numbers from the list of 49 numbers.
They have even less idea of the probability of winning a consolation prize by selecting either 4 or 5 winning numbers.
Given this background, you might consider a recent commercial for a state lottery that stated, “We won’t stop until we have made everyone a millionaire” to be deceptive and possibly unethical.

Question 1. Essay Type
Do you think the state has any intention of ever stopping the lottery, given the fact that the state relies on it to bring millions of dollars into its treasury? Is it possible that lottery can make everyone a millionaire? Is it ethical to suggest that the purpose of the lottery is to make everyone a millionaire?

FORMAT
I.    Instructions:
1.    Use APA format in reporting your answer
2.    Number of pages: Approximately 2-3 pages
3.    Due date: Week 11
II.    Outline
1.    Introduction
i)    Define ethics (do your research)
ii)    Illustrate the definition with examples
iii)    Develop your argument for and  against the issue on lottery when you answer the questions below
iv)    State how the remaining part of the essay is organized in the terms sections I and II of the two questions
2.    Body
i)    Is it possible that lottery can make everyone a millionaire
ii)    Is it ethical to suggest that the purpose of the lottery is to make everyone a millionaire?
3.    Summary and conclusion
4.    References

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Assignment 1: Financial Statement Analysis
Due Week 4 and worth 200 pointsSelect one (1) of the following publically traded health care organizations: Universal Health Services (NYSE: UHS) or Health Management Associates (NYSE: HMA).Suppose you are a newly appointed CFO of your chosen health care organization. One of your first tasks is to conduct an internal financial analysis of the organization. Conduct a brief financial analysis and review of the chosen company’s financial statements for at least three (3) consecutive years. After conducting the analysis, interpret the data contained within the statements.
Write a three to four (3-4) page paper in which you:1. Based on your review of the financial statements, suggest a key insight about the financial health of the company. Speculate on the likely reaction to the financial statements from various stakeholder groups (employee, investors, shareholders). Provide support for your rationale.2. Identify the current industry trend that has the most significant impact on your chosen organization’s financial performance. Indicate the trend’s impact on the financial performance of the organization. As the CFO, suggest at least one (1) way that you might minimize the impact of the trend on the organization.3. As the CFO, suggest one (1) key strategy that you might use in order to improve the financial performance of the organization. Recommend an approach to implement the suggested strategy. Provide support for your recommendation.4. Use at least four (4) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.






I want you guys to continuemy project (TTs030314_53165_40), and i will provide you an example for the project that my prof sent it to. Be sure that you can tie in some of the leisure theories/concepts… please see attached.

…….

Here is the instruction
Students will systematically observe leisure behaviors in a recreation setting and draw some conclusions from what is observed. Students may work alone or in groups no more than three. A written plan must be submitted and approved by the instructor before the observations can occur. The written plan must include:

…….

a. Purpose – overall goal, composed of two parts 1) what you wish to learn, confirm, disprove or demonstrate and 2) who might be able to use what you learned and for what purpose.
b. Objectives – specific statements or tasks you will accomplish to achieve your purpose; begin with the word “to.” Objectives should be measureable and state which information you will need to meet your purpose.

…….

c. Types of behaviors to be observed. (see readings for ideas). Be specific! You can’t observe what you can’t define. Behaviors may include areas of Fitness, TV, Social, Solitary, Play, Dance, etc.
d. Where the observation will take place.
e. The dates and hours of observation (each group must conduct a minimum of 10 hours of observation)
f. How you will conceal the purpose of your presence.
g. The form you will use to record what you observe
Once the observation has been completed, you will hand in:
1. All of the recording forms

…….

2. A written summary of your findings, which includes summary tables and/or charts and a discussion of your findings using terminology and concepts from this course. Discuss how your findings might be used to change the design of management of the place or program in which you did your observation
3. You will also give an 10-minute oral presentation (power point)

…….

of your findings, which includes recommendations for improvements in design and/or management of the recreation facility or program in which you did your observation.
The points for this project are distributed as follows:
A. Written Plan (20 Points)
B. Forms and written summary with tables/charts (80 Points)
C. Oral Presentation (20 Points)

…….






Topic 2: What is circular flow diagram? What are the major markets and economic decision makers the circular flow diagram indicates? What is the importance of the diagram in various markets of the economy or economic interactions (transactions)?

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This is a visual model that shows how money flows through households and businesses. Businesses or firms and people in households are the economic decision makers that the circular flow diagram demonstrates. Basically, the firms or businesses produce the goods and services that the households consume. Businesses produce these goods using certain services like manual labor as well as land, buildings or machines. The households own these certain factors and consume the goods that are produced from these businesses.

Topic 3: Production possibility frontier indicates the maximum amount of two goods that can be produced, given scarce resources and prevalent technology. How does the production possibility frontier model help us understand the feasible and efficient amounts that can be produced?

Since the production possibility frontier states that you it is impossible to produce the maximum amount of two goods, you must decide how many of each good you can produce given the scare resources a business may have. It is said to be an efficient amount if a business is getting all that it can from the scare resources available. You must give up something to produce another. As the book illustrates, you can’t produce the maximum amount of cars or computers needed so if you could produce 200 cars but 0 computers, you may want to produce 100 cars and 200 computers. There is no way to produce more cars unless you produce fewer computers. With given resources, you can produce numbers inside the production but unable to outside the production parameters.

 

 

 

unit 2 Andre Warfield 6/21/2014 10:38:07 PM
Hello class,

Topic 1.

absolute advantage is where a company can produce more from less input or material where comparative is where a company/countries uses less can produce at a lower opportunity cost and they gain from trades for example when its spring and summer we can produce a lot of produce but when winter hits we trade with countries over seas another example is Florida specializes in oranges where Wisconsin is known for cheese they will trade with one another instead of worrying about everything the concur/specialize in one area and trade their product to others for what they do not produce.

Topic 3

The Production possibility frontier will allow us to see how much material we have to produce. It will allow us to know how much we can produce and if we should cut back or not it allows us to see if we will be taking a loss or a gain.

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We will be screening two movies in class. For each movie screened students will submit using
e-learning a “film analytical short paper” which will consist of a few paragraphs analyzing the
feature films or documentaries used in class.
Guidelines to write analytical papers:
In writing analytical papers, you should be able to build a coherent and consistent argument
about a controversy or main points discussed in the film or documentary. Students are encourage
to use the readings and/or ideas from our class discussions and offer, if necessary, relevant
quotes to support their assertions. It should follow a logical progression of ideas expanding
on the main point. The argument should be supported by an adequate number of concrete facts and
details with citations when appropriate. Your points should be developed well enough to be
convincing.
In general, the more focused the argument the better it is. The stronger thesis allows you to
explore key assumptions and their consequences. The weaker thesis tends to generate a simple
summary of the readings.CLICK HERE TO ORDER THIS ESSAY!!!!
Weeks Topic Reading Assignment
Week 1 Introduction
General overview of Inequality Reader:
(TH) **David and Moore
(TH) **Krueger
Week 2 Key concepts: class, status, income, power elite
(T) **E.O Wright
(T) **Chan and Goldthorpe
(T) **Richer
(TH) **Wright Mills
(TH) **Domhoff
(TH) **Brooks
Week 3 Poverty and the underclass (T)**Ehrenreich
(T) **Smeeding
(T) ** Massey and Denton
(TH) **Hays
(TH) **DeLuca and Rosenbaum
Week 4 Fist Analytical Paper Film
Week 5 Racialization and immigration (T) **Omi &Winant
(T) **Farley
(TH) **Portes and Zhou
(TH) **Waters
Week 6 Discrimination and Prejudice (T) **Bertrand &Mullainathan
(T) **Feagin
(T) **Steele
(TH) **Wilson
(TH) **Oliver and Shapiro
(TH) **Bobo
Week 7 Gender inequality (T)**Lober
(T) **Belkin
(T) **Stone
(TH) **Correll, Benard, Paik
(TH) **Reskin
(TH) **Jacobs
All of the readings are from The Inequality Reader: Contemporary and foundational readings in
race, class and gender, Author: David B. Grusky&SzonhaSzelenyi, Publisher: Westview press,
Edition: 2nd edition, Year Published: 2011






Summary Assignment
Summary is used in various capacities in academic writing. Sometimes you may need to summarize a story; other times you may need to summarize someone else’s argument, belief, philosophy, or ideas. This particular summary assignment will ask you to read a provided article and summarize the author’s main points objectively. You will essentially respond to the following question(s):
Who is the author of this article? What is the name of this article? What is the topic being discussed in this article? What is the focus of that topic? What does the author express about this narrowed topic? What are the main points in the article? What is the author’s purpose and what does he or she want to communicate overall?
Objective(s):
Show comprehension
Objectively express someone else’s words
Condense material to manageable form
Directions:
Summarize the provided article (“Weighing the Gun Control Argument”) in 100-300 words.
Remember, summaries “should faithfully reflect the original, so you should not add points, interpret, or evaluate the author’s ideas, or change the original meaning” (Clouse 16). Do not include subjective wording/interpretation/analysis (e.g., Sullivan makes a good point…)
Summaries should begin with an MLA citation of the article first. Then, the text of the summary should begin with the author and title (e.g. In William Sullivan’s “Weighing the Gun Control Argument,” he…). Summaries should also rely on paraphrase rather than quotes and should include consistent references to the author of the source, but in varied ways (e.g., according to, he/she states, he/she concludes, etc.). Remember to use the author’s full name initially, followed with references to last name only (e.g. According to Sullivan).
Requirements:
Summary should be worded as paragraphs, not a bulleted list of information
Summary should not exceed the word requirement by more than 25 words
Quotes should be avoided or used sparingly—no quotes more than 3 lines in length
MLA formatting (header, spacing, margins) and documentation
Submitted on time via Blackboard SafeAssign
Summary Article:
Weighing the Gun Control Argument
By William Sullivan
It is a bit misleading to call our current national discussion about gun control a “debate.” Simply put, politicians and the media directing the discussion aren’t interested in evidence or conclusions contrary to those that they have a vested interest in disseminating. They are interested merely in silencing any opposition, and they rely on their devoted acolytes to continue empowering them to do so.
It’s about belief for these acolytes, not proof. Because they believe in the moral imperative, whether or not facts support their beliefs is unimportant. They just blindly accept that what they’ve been told is true, and they look upon those who believe otherwise as dangerous heretics.
Yet in a somewhat intellectually quixotic self-perception, these gun-control zealots declare themselves the rational thinkers on the subject and believe their conclusions infallible, despite the fact that the hypotheses to which they are so devoted are rarely measured in the crucible of evidence.
Consider the most basic of their arguments — that access to guns needs to be restricted by the government, because access to guns is the most convincing variable that determines murder rates in our society. Let’s just briefly weigh that assertion in the balance, and see how well it holds up to scrutiny.
In 1960, data suggests that there were roughly 77.5 million guns owned by a population of just over 179 million, meaning that there was somewhere in the neighborhood of 4.3 guns per 10 Americans. In that year, the murder rate in America was roughly 5.1 per 100,000 Americans.
Fast-forward to 2009. According to a Congressional Research Service report by William J. Krouse, 310 million guns were owned by Americans in that year by a population estimated to be 307 million, meaning there were probably more guns in America than there were Americans.
Now pause a moment, and remember that gun-control advocates contend that there exists a positive correlation between the number of readily accessible guns and the number of murders. If true, we might expect such a surge in gun ownership (and guns that are owned are as readily accessible as guns get) to yield a much higher murder rate. But in fact, the murder rate was lower in 2009 than in 1960 — at 5.0 per 100,000 Americans.
Such inconsistency and an obviously flawed hypothesis might send a reasonable person back to the drawing board. But gun control zealots just double down and get more specific. Currently, the fashionable tactic is to appear a bit centrist by suggesting that it’s not all guns or the Second Amendment that they oppose, but rather just those scary looking semi-automatic guns people call “assault weapons” and high-capacity magazines. No one needs that kind of gun, and no one needs to fire that many bullets, they argue.
In terms of the practical purpose of the Second Amendment — that is, the preservation of individual liberty — it should be obvious, as I have argued before, why such weapons and such payloads are essential, and explicit in the verbiage of the Second Amendment is unquestionable proof that the federal government has no legal right to infringe upon a law-abiding American’s right to own them. But since it is a common objection among the left that supporters of gun rights cling to their archaic Constitution (or that “little book,” as Piers Morgan calls it), rather than just accepting the idea that a new assault weapons ban would curtail violence, let’s examine a bit of data surrounding their claim.
That data can tell a pretty simple story to those willing to hear it. The 1994 Federal Assault Weapons Ban expired in 2004, and in that year, the murder rate was 5.5 per 100,000 Americans. In 2011, that murder rate had declined to 4.7 per 100,000 Americans, which, incidentally, is the lowest murder rate in nearly four decades. If the laws banning “assault weapons” were so incredibly effective, why have murder rates significantly fallen since it expired? Not only did the federal government lift laws restricting “assault weapons,” but since then, many states expanded “concealed carry” rights, meaning that guns were all the more prevalent in public life during these years, with both criminals and the law-abiding being totally aware of that fact — and the result was a lower murder rate.
This is not to say the data shows a constant trend opposite of the one that gun control advocates suggest. Murder rates have vacillated in big swings throughout the years, sometimes rising, sometimes falling, despite the fact that gun ownership has steadily increased. Therefore, we must accept that more guns don’t always result in less murder, either, in terms of the data. The point, however, is that the primary hypotheses that are the foundation of current gun control arguments are fatally flawed. Neither the presence of guns (whether semi-automatic or outfitted with a large payload) nor the laws restricting them (which lawless murderers invariably ignore) are the most convincing variable that determines rates of murder in this country.
It would certainly be valuable to have a discussion about how we can best reduce incidents of murder in America. But it should be a discussion based upon reason, not emotional agendas to rob Americans of their fundamental liberties based upon specious and unsubstantiated arguments. There are far more convincing variables to explain high rates of murder, whether we’re talking about large quantities of unheralded murders or isolated and sensationalized killing sprees. And regarding the latter, considering that it has recently surfaced that Adam Lanza’s likely motivation for the massacre in Newtown was to surpass Oslo spree-killer Anders Breivik in notoriety, it might make sense that we examine the practical impact of the self-centered nature of our culture that values celebrity above all things. And maybe it is a good idea to address the media’s sensationalism of the actions of demented spree-killers like Eric Harris and Dylan Klebold, Seung-Hui Cho, Jared Loughner, Anders Breivik, and Aurora shooter James Holmes, all of whom were granted larger-than-life notoriety by the media for their actions.
But at these suggestions, gun control advocates generally return full circle to that flawed argument with which we began — that fewer guns and more gun control are the answer to curtail murder in America. It’s as if the above-mentioned data roundly disproving the claim never existed, and they go on arguing their hypothesis in other ways, like comparing this place that has gun control to that place that doesn’t.
For example, gun-control advocates are very quick to point out that England has a lower murder rate than America and extremely restrictive gun control laws. Notably absent from these keen observations, however, is the multitude of comparisons where the opposite is true, such as a comparison between America and, say, Russia, which has extremely strict gun control laws and few guns, but a murder rate that eclipses our own.
Of course, they generally neglect to use domestic examples, too, and with good reason — the opposite of their contention is almost invariably true in domestic comparisons. Urban areas, for example, typically have stricter gun control laws and lower rates of gun ownership than rural areas, yet they have much higher murder rates. And then there is the glaring example of Obama’s hometown, Chicago, which proudly touts its extremely progressive gun control laws while owning the highest murder rate in the nation. But that doesn’t stop the devout masses from cheering in passionate agreement when the president suggests, with a repetitive cadence that would make Goebbels proud, that Chicago-style gun regulation be applied federally.
The implication of such ignorance is too grave to find any humor in that sad irony.
The hypothesis we should be discussing is that cultural factors are much more convincing variables correlating to murder rates. Take the consideration that widespread poverty and unemployment could have potentially contributed to the spike in murder rates in the late seventies, or that the proliferation of a culture of gang violence likely contributed to the sustained high murder rates in the early nineties, or the possibility that our current culture of celebrity and sensationalized violence is perhaps now leading to isolated spree-killing endeavors, if one is to take Adam Lanza’s supposed motive into consideration.
If there is to be any progress in the gun control “debate,” America must forego the commonly held fallacy that gun regulations upon the law-abiding will regulate the lawless. Until then, we may be doomed to have reasonable arguments against gun control fall on deaf ears.
(1410 words)






Read the following case study and write a 1-2 page summary based on the prompts that follow.

The Brattle Center (TBC) is a struggling mental health clinic based in Harvard Square. Its founder, Dr. Joan Wheelis, is a nationally recognized practicing psychiatrist who has developed outpatient treatment programs based on Dialectical Behavior Therapy (DBT) for patients with borderline personality disorder (BPD).

DBT requires teams of people with different types of expertise and so the original operating model developed by Dr. Wheelis was one in which TBC was staffed by a large number of part-time clinicians, known as the “affiliate model.” Changes in the health care environment, particularly the advent of managed care, have put very real pressures on this model and the company is now in a state of crisis.

Dr. Wheelis is trying to decide whether and how to keep it going. The key decision is whether to shift to a “staffing model” based on a larger number of full-time clinicians. This will require a larger patient population to make the economics of greater fixed capacity viable.

TBC is trying to decide whether to join the Blue Cross Blue Shield network, which would increase its patient population but at rates much lower than it currently charges by only taking private patients. Dr. Wheelis is also pondering whether to start a non-profit foundation as a way of getting money to support its teaching and training programs, or even making the company a non-profit itself.

What should Dr. Wheelis do about this situation? Include the following information in your case study summary:

  • An overview of Dr. Wheelis’ case.
  • Key Issues or Problems.
  • Alternatives that Dr. Wheelis can consider.
  • A potential solution to Dr. Wheelis’ dilemma.
  • Your conclusion on the case study.
  • Relevant additional supporting research.