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The book has garnered appreciation for delivering important and thought-provoking ideas, particularly regarding women's roles and motivations within relationships. Many readers found that despite its highly unconventional and often blunt style, the author's direct approach was necessary and effective for certain personality types. The insights, drawn from the author's professional experience, were acknowledged to contain truths about relationship challenges and personal accountability, prompting self-reflection on one's own contributions to well-being and identifying areas for potential change.

However, significant criticisms were raised regarding the book's structure and content. Reviewers often felt it suffered from excessive self-repetition and did not consistently focus on "women" as its title suggested, instead covering general relationship issues applicable to any gender. The author's aggressive, vulgar, and sometimes derogatory language, while potentially effective in a clinical setting, was frequently described as alienating and off-putting in written form to a broader readership. The book was also criticized for its perceived lack of depth in exploring alternatives to drastic solutions and for presenting the author's methods with frequent self-justification, which felt out of place.

In summary, this book is highly polarizing. While it offers valuable insights and encourages self-examination, its unconventional style and repetitive nature prove to be significant hurdles for many. It is best suited for readers who appreciate a very direct, no-nonsense, and even confrontational approach to self-help and relationship advice, and who are not easily offended by strong language. Those seeking a traditional, structured, or gentle exploration of women's issues or relationship guidance might find it challenging, but individuals open to a provocative and perhaps uncomfortable read that encourages deep personal reflection may still find it worthwhile.