A strange love affair between and older male writer and a beautiful "crazy" woman 23 years his junior. She has Paranoid Personality Disorder, and their precarious romance is hampered by an evil, jealous old lady who lives in their apartment complex.

In addition, the book is a philosophical exploration of the meaning of the Adam and Eve story and the nature of mental illness. The contention is that Eve's eating of the Tree of Knowledge was was started humanity on the path to madness — and that we all live in the loony bin that has existed ever since.