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Purpose

This paper aims to assess highly toxic personality disorders in leaders, implications for organizations, and methods for assessment and intervention.

Design/methodology/approach

Action research was used, including a thick description case study narrative and application of the DSM IV‐TR.

Findings

Personality disorders are a source of a highly toxic and dysfunctional organizational behavior; borderline personality disorder in a leader may serve as a systemic contaminant for an organization.

Research limitations/implications

A qualitative, case study approach may not lend itself to replication or quantification; usage of the DSM IV‐TR requires clinical training in counseling psychology; the growing incidence of personality disorders in leadership warrants cognizance, ability to assess, the creation of early detection systems and methods of intervention.

Practical implications

Through the narrative of a case study researchers and practitioners can obtain a glimpse into the day‐to‐day operations and nuances of a highly toxic leader and how it impacts an organization; interventions and solutions are provided.

Originality/value

This paper calls attention to highly toxic leadership and organizational dysfunction by investigating borderline personality disorder as a prototype.

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