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A word ‘masochism' comes to my mind when I think about this book. And in a good way - the bleakness hits you hard but the writing is stellar.
In contrary to the popular opinion I don't think that this is book w/ just a high shock value. The story contains a vast amount of hard-pill-to-swallow observations - sometimes hidden, other time explicitly stated. You may not like the nihilistic tone or story in general, but it would be wrong to categorize this as pretentious or irrelevant.