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Pissed Off is a book about Gillespie's lifetime of anger and the inevitable fallouts that ensued, which she uses, along with other women's stories, to describe the positive and negative influences of anger in women's lives. Gillespie's portraits depict anger that stems from interpersonal relationships toward coworkers, offspring, parents, and strangers. Her stories and observations are simultaneously funny and wrenching, providing the backdrop for universal experiences that range from irritation to fury.