What about telekinesis that functions by creating almost a sort of high-powered atomic wind? Too powerful and not only will it shred whatever is trying to be manipulated, but it'll also tear at the caster like they were being hit with a sandblaster. Higher control would let them reduce the damage they take and exert more force on something before they started to tear at it, but they would always have to be careful with it no matter how much control they have.