From the confused vision of a teenager to the increasing self-aware and paranoid thoughts of an adult, the writings reflect the way through which the author sees the world when his vision is through the eyes of a distorted and damaged mind.
Perhaps the most telling indication of this skewed view of self and world is that the author has no horror stories to tell. The clichéd claims of dysfunctional family or abuse are never used. Instead, in his mind, the writings tell the story of an insane world witnessed by a very sane person.
As the writings were never intended for public consumption, the author scribbled them down on scraps of paper, napkins, in notebooks -- on virtually anything he could find. He carried these passages around for over 20 years in a black leather bag. He called this bag his "Bag of Disease."