I've never heard the term narcissistic perversion before. The most severe form of narcissism I know of is Malignant Narcissism. For the sake of this question, I'll base my answer on how one deals with a Malignant Narcissist.
60 Minutes/Vanity Fair: Bad Habits. Bob Gates, America's Secretary Of War. Robert Gates, Secretary of Defense for both Presidents Bush and Obama is the man in charge of winding down the war in Iraq and building up the war in Afghanistan. 60 Minutes and correspondent Katie Couric flew with him to Afghanistan just over a week ago.
We are grateful for their commitment to our veterans, military families and survivors, said Bonnie Carroll, TAPS President and Founder. We look forward to continuing our partnership with the VA and congratulate Dr. David Shulkin on his appointment as Secretary of Veterans Affairs. As the son of an Army officer, we are certain Dr. Shulkin will bring a unique understanding of military family life and the sacrifices made which are central to the VA's mission '...to care for him who shall have borne the battle and for his widow, and his orphan.'