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The book is a trip inside Bateman's increasingly unhinged mind.
It does not take long for the reader to become suspicious about the atrocities he "commits" - if you can see past the (at times revolting) detailed descriptions then it becomes apparent the author may be having us on.
Unfortunately some people see this approach to writing as cheap "and then i woke up and it was all a dream" shots... which was a common reaction to the end of the movie.
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