pawsplay
Hero
I'd say it does require patience, concentration and so on.* Ever tried to be an effective leader while in the throes of an intense rage? Okay, probably not, sure, but there might just be a good reason for that.
* The active abilities even require a free action to maintain, each round.
I think if you yelled, "Stab them in the jim-jim!" it would be all the more effective if you looked like hate incarnate.