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.
It was created in 1947 and its headquarters is in The Pentagon in Washington, D.C.. The person in charge of the Department of Defense is called the Secretary of Defense. The current Secretary of Defense is James Mattis, who replaced Ash Carter in 2017. The Secretary of Defense answers directly to the President.