A good sign that someone is not thinking right is when he helps other people to get his own needs met — even if it's his job to help other people. In other words, he really doesn't listen to other people to understand them. Rather he is more interested in getting something out of the deal. Their concern for other people cannot reach beyond what they want.
Organizations can operate in the same manner. They can produce products and services that meet their own criteria of what is needed, without finding out what their market really needs. And they can market their product or service as if the desires of the market didn't matter.
Just look at corporate websites. These websites tend to focus on the organizational structure or try to convince other people that its corporate concerns should be theirs. On the other hand, think about how refreshing it is when you come across a website that actually tries to answer the questions you have, and talk to you as if they care about you. It's refreshing because it is so rare.