Sara Mayfield was born into Alabama's governing elite in 1905 and grew up in a social circle that included Zelda Sayre, Sara Haardt, and Tallulah and Eugenia Bankhead. After winning a Goucher College short story contest judged by H. L. Mencken, Mayfield became friends with Mencken and his circle, then visited with Scott and Zelda Fitzgerald and hobnobbed with the literati while traveling in Europe after a failed marriage. Back in Tuscaloosa after the war, however, she became increasingly paranoid about perceived conspiracies arrayed against her. Finally, her mother and brother committed her to Bryce Hospital for the Insane, where she remained for the next seventeen years.

Throughout her life, Mayfield kept journals, wrote fiction, and produced thousands of letters while nursing the ambition that had driven her since childhood: to write and publish books. During her confinement, Mayfield assiduously recorded her experiences and her determined efforts—sometimes delusional, always savvy—to overturn her diagnosis and return to the world as a sane, independent adult. At fifty-nine, she was released from Bryce and later obtained a decree of "having been restored to sanity." She went on to publish noteworthy literary biographies of the Menckens and the Fitzgeralds, finally achieving her quest to become the author of books and her own life.