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.
United States Secretary of Defense. The United States Secretary of Defense (SECDEF) is the head of the U.S. Department of Defense (DoD). The role was made in 1947. The current Secretary of Defense is James Mattis. The Secretary of Defense is sixth in line to the United States presidential line of succession. List of Secretaries of Defense