Chris:
'99 and up powerjokes use a Cat unit injector, but Ford, in their infinite cheapo wisdom, makes their own fuel supply system and, frankly, it doesn't work. Therefore, #8 cylinder tends to fire early and with a high peak overpressure (as much as 25%). Ford has a TSB fix, the infamous Long Lead #8 injector, but it not only doesn't fix the problem, it seems to make some trucks WORSE. Moral of the story is that some (most, maybe ALL) powerjokes fire early on one cylinder and put a nasty torque reversal into the crankshaft, which destroys clutches, pilot bearings and torque converters with ease. To make it worse, the '99's with a manual have a "dual mass" flywheel that suffers the same fate as the automatics and shakes apart as well.
So, in all likelihood, you neighbour has a bad converter.
Pat