Pizzorno explained to The Sun
May 22, 2009: "The (album) name gave me the freedom to approach it however I wanted. If you're going into the realms of madness and escapism, then you can put songs like 'Thick As Thieves' and 'Vlad The Impaler
' - which are nothing like each other - on the same record. And I've always been fascinated by madness, people losing their minds like Syd Barrett, Peter Green, and in One Flew Over The Cuckoo's Nest
. And I'm there you know. Compared to what's 'normal' I probably am a loony. That's why we are dressed up on the album cover - we're ready to go to the Ball, the Christmas Ball at the asylum."