Broadening the Kets De Vries canvas, this book examines concepts of organizational health, performance, and change. Material ranges from studies of high performance teams – based on time the author spent with the pygmies of central Africa – to the study of organizational stars, to the use of coaching interventions to improve personal and organizational functioning.

Kets de Vries looks at the interpersonal and group processes that determine how organizations work within specific contexts, including family firms. He studies dysfunctional leader-follower relationships, downsizing, and organizational transformation. Kets de Vries also introduces his concept of the "authentizotic" organization – a pleasant, healthy, well-functioning workplace.