According to Wilson, the album is written from a female perspective, and the concept and story are inspired by the case of Joyce Carol Vincent, where a woman living in a large city dies in her apartment and no one misses her for over three years, despite her having family and friends.
Prema Wilsonovim je riječima album napisan iz ženske perspektive te su koncept i priča inspirirane slučajem Joyce Carol Vincent, u kojem je stanovnica velikog grada umrla u svojem stanu i nitko je se ne sjeti preko tri godine iako je imala obitelj i prijatelje.