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In their groundbreaking work on the power of alignment, Labovitz and Rosansky1 identified a number of frequently encountered "pathologies" of sick companies. This is by no means a complete list, but it provides a glimpse at the range of illnesses that can plague companies and keep them from reaching or sustaining peak performance. These are:

Tyranny of One	Process improvement activities are failing to meet customer needs because there is poor cross-functional integration around the customer's voice.
Strategy Interruptus	Strategy has not been effectively deployed and, so, goes nowhere. There is no passion or commitment.
Phantom-Limb Syndrome	People work hard to satisfy customer needs that no longer exist. The company drives into the future with its eyes on the rearview mirror.
Forked-Tongue Syndrome	Strategy may be okay, but deployment is plagued by mixed signals from the top.
Market Myopia	People and processes are focused on current customers, but the larger strategy is out of touch with the competitive environment.
Dead Man Walking	Living in the past. Not clear on the customers to please or the processes to fix. Strategy and people are totally disconnected.

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