Really, what's the point of taking an attunement which lures all the monsters to you? At that point, I'm more concerned about staying alive rather than casting spells and rituals.
The Elementalist has good attunements that work in any situation. So here, an ELITE attunement, requires you to hold an item. Understandably the trade off is that you can't attack; but the flagbearer aggro affect is really killing this skill in PvE.
Attuned Was Songkai screwed in PvE
Leddy
Corinthian
GLF Ash tank for SF farming! 
TGgold
I tended to use that and some restoration, and blood.....
AwS, Vengeful Weapon, Soothing Memories (self heal, +3 energy if you're holding an item, and with AwS at 40%, it makes the 5 energy cast free), and some other skills. It works well, seeing as how people try to kill me...and I don't run out of energy and don't die. ^_^ To abuse some of this more, I tended to use Vampiric Swarm, and Jaundiced Gaze. Healing, not much energy consumed, and you're stealin health (armor ignoring damage) frequently. Every cast of Swarm is basically a 120 point heal, Vengful is a 39 heal, and Soothing memories is a 60-ish point heal. Keeping that up should keep you alive through most things. I think I took plague touch too....
AwS, Vengeful Weapon, Soothing Memories (self heal, +3 energy if you're holding an item, and with AwS at 40%, it makes the 5 energy cast free), and some other skills. It works well, seeing as how people try to kill me...and I don't run out of energy and don't die. ^_^ To abuse some of this more, I tended to use Vampiric Swarm, and Jaundiced Gaze. Healing, not much energy consumed, and you're stealin health (armor ignoring damage) frequently. Every cast of Swarm is basically a 120 point heal, Vengful is a 39 heal, and Soothing memories is a 60-ish point heal. Keeping that up should keep you alive through most things. I think I took plague touch too....