The document discusses organizational anti-patterns that can arise when adopting agile practices. It identifies common anti-patterns such as having a novice lead changes, changing everything at once without a gradual transition, and implementing processes without adapting them to the organization. The root causes are discussed as organizational change being difficult for people and systems tending towards local rather than global optimizations. Solutions proposed include using models like Dreyfus to help individuals improve skills, applying Conway's Law to structure teams, and refactoring organizations gradually using techniques from software engineering.