Choke, by Chuck Palahniuk

How can the storyline of a med-school drop-out who goes to Sex Addicts Anonymous meetings to hear crazy, wild-ass tips and techniques for getting laid that he'd never think of otherwise NOT be good? How can a book that features the protagonist boinking his delusional mother's hot shrink on the altar of the Catholic insane assylum NOT be great? On top of that, there is the whole schtick about choking on half-eaten steak in fine restaurants so that rich, well-to-do types will rush in to save you and maybe even send you cash-filled birthday cards from then on, as if the Heimlich manuever were a second birth and they now identify with you as another child they never had.

AND let us assure you he is more sardonic than "satire" implies:

The magic of sex is it's acquisition without the burden of possessions. No matter how many women you take home, there's never a storage problem.

Chuck Palahniuk, folks--bitter, twisted genius.