The imagery reflects the protagonist's time the mental hospital. The play traces Jim's desperate struggle with the hospital authorities to regain his independence and retain his autonomy. His battle is complicated by his wife, Ann, who in her desperation to hold onto their marriage, becomes an effective accomplice to the hospital's autocratic system. As Kramm documents the power plays Jim must endure as he attempts to gain his release from the hospital, he presents a compelling portrait of repression and resistance.