I don't think it will be any harder to reconcile psionic monks than primal barbarian powers. Remember that monsters and npcs are not built like characters. 4e npc druids will be a mix of druid and warden. Brotherhood monk powers need not be given the same flavour as pc monks either. I've also noted that the Baklunish demi-god, Zuoken, has worked his way into core and I think it's true that 4e monks do seem more flavoured after Xan Yae and Zuoken, who have had psionic links since 1e.
As far as pc builds go, I agree that hybriding Brotherhood monks with rogues, rangers, assassins, and brawler fighters will produce some interesting combinations.
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