ABSTRACT
The modern psychiatric diagnosis of ‘personality disorder’ encompasses its difficulties. With issues of behavioral disturbance, narcissism and anti-social behaviour taking center stage, many of those falling within this diagnosis populate the world’s prison systems and might be described as suffering from symptoms like ‘a lack of remorse’. The psychotic position involves a severe splitting of both reality and the ego because much of reality is hated and rejected. Apart from the perverse psychic position or state-of-mind, perverse sexuality and behaviour may be found within patients diagnosed as neurotic, psychotic, borderline or narcissistic according to modern psychoanalytic and psychiatric descriptions and classifications. Judgments about the realistic nature of organisational players intents as well as their actions thus become part of the data for investigation. In business and organisational consultancy the processes of therapy and correction are echoed by the solutions of consultation, change management and re-engineering.
