Unfortunately, many of us are untrained in diagnosing what is going wrong in an organization. All we know is that it isn't working well. That sick feeling is from the Stewed Tomato Surprise you had last night, or that disastrous meeting this morning. To properly diagnose what is happening in an organization, we start like a doctor - with symptoms. Once we can describe what is going wrong, we look for causes, and recommend a prescription for what ails us.
Organizations often go through the above process many times and for awhile they feel better.
Unfortunately, the underlying causes haven't been assessed and changed, so the problem won't go away. Programitis is the feeling of cynicism and indifference that happens when organizations plant different buzzword into the minds of employees without following through on implementation. After a few cycles, employees expect nothing from management, and the initial enthusiasm they have drains away. However, resources may be needed outside the organization to objectively assess the patient's health, provide guidance on treatment options and encourage the patient when he is feeling down. Outside resources are especially indicated when previous attempts by management to solve the problem either don't work or work only for a short time.