The distribution and clinically significant patterns of the phenomenology of a naturalistic case-controlled private practice displayed symptoms of a ‘clinical triad’ of power management, dependency and psychosexual issues. This phenomenological approach has been called Shakatani - from the Swahili words shaka (problem) and tani (power), and is suggested to be an Axis I replacement for the four-cluster Axis II classification of the DSM-IV personality disorder.