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.
The Deputy Secretary of Defense position is currently held by Robert O. Work, a retired Marine colonel who previously served as Under Secretary of the Navy from 2009 to 2013.