At Baseline, they recently presented the 10 Brutal Realities of Project Management.
They are:
1. Lack of commercial paper
2. The stakes are higher
3. Smaller staffs
4. Cloud of layoff looms
5. Training dollars disappear
6. Morale is low
7. Best practices may no longer apply
8. No room for radical approaches
9. 'Good enough' syndrome
10. Uncertainty and ambiguity are killing planning
For their explanations, read watch the presentation.