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Also spelled pbbssh -- it is a sound used to express disbelief or disagreement, often with ridicule or disdain. It's made by [simultaneously] [vibrating] out a "p" and "b" from between pressed lips, followed [immediately] by an extended "sh" sound. e.g. "pppbbsshhh...!" It's is made with more force and drawn out longer to express ridicule or disdain.
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