The Beginning of the End by Ian Parkinson
I can think of several words to describe this novel: disturbing, is one. Hypnotic, is another. Neither do this novel justice though. Parkinson has been likened to Houellbecq, and I can see why. You need a strong stomach to follow the protagonist, Raymond, and his descent into dependency and mental illness – and worse. But this is a novel that is compulsively written. After reading it, I woke up having dreamt about the ending. Any novel – any writer – that can do that is rare.