"Choke" by Chuck Palahniuk

This is the second book I read by Palahniuk, after I was amazed by Fight Club, both the book and the movie, so I looked for more of his work.  This book is quite more specific and disturbing than Fight Club, but follows more or less the same topics, as all Palahniuk's books are.  The main character is a sex addict who is also a son of a single mother who spent her entire life in jail for different acts of social terrorism and kidnapping.  Palahniuk describes the sex addiction working groups and the people who come there in great detail, but with superfluous gory details which actually detract from the strength of the book.  I prefer Murakami's subtle and metaphorical description of the greatest evils and deeds.  Palahniuk actually succeeds in making even mundane actions, like flossing of teeth, into disgusting gore-fests, complete with description of rotten chunks of food and bleeding gums.
Victor Mancini, the main character, chokes on food in restaurants and has people save him; people who become his life-long sponsors because he gave them the pleasure and meaning of saving another person's life.  He also works as an actor in a pioneer fortress nearby and describes the drug use and debauchery that goes on there.  Eventually his mother dies and the doctor that was going to save her turns to be just another patient.   Victor is arrested and his diaries of step 4 in SA are discovered, so all his dirtiest deeds are being read aloud in the police station.  He tries to choke to die, but is saved again by the policemen.  It becomes a metaphore for his entire life: choking, but unable to die.