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In their work, today’s consultants have to deal with a psychic economy that we call collective conservative neurosis. Its four principal traits are: individualism understood as megalomania (absence of transcendent ideals); freedom as perverse omnipotence (above the law); utilitarianism as the supreme value; economic wealth as the ultimate good. These traits refer back to a sadistic-anal logic characteristic of perversity. The perverse defenses that the consultant must listen to are seen in splitting of thought, the need for mastery, the passion for turning one’s own desire into a kind of law to be imposed on others and hatred for authority. These defenses are expressed mainly by word games that he must know how to decode. Assessment and quality control are perfect examples of perverse symptoms. They claim to be methodical and rational processes for adjusting the means to the ends in an impersonal manner and without any apparent reference to authority. In order not to simply echo the perverse style, the consultant must define a clear framework of intervention, bring out the internal structural of the institution, bring back ideals and meaning, and foster intersubjectivity.