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.
John Burgess, Former US Foreign Service Officer who's been around the block (and the world) a few times. and. Michael Lee, Public Policy Analyst. In addition to Dean Rusk, Cordell Hull was the only other Secretary to serve two terms in the last 100 years. Hull actually served almost 12 years under FDR. In general, most cabinent level officers rarely serve out two terms anymore.