Raw and edgy storytelling plus a take-control-of-your-life theme rings familar to Palahniuk's best-known work, Fight Club. Many of the same elements are here: losers trying to figure out their place in the world, people who use support groups in twisted ways, all sorts of freaky sexual deviancy. The ride is so much fun that you don't realize until the end that there's actually a compelling theme which draws it all together: don't be who anyone else expects you to be, be the person you want to be.