This song about mental illness led to questions asking if Gabriel was suffering from the condition himself. He told Mojo magazine September 2013: "I think the assumption was, you couldn't write about something like that unless you had experience of it."
Gabriel added: "I later discovered I had depression around the time of my marriage breaking up. But maybe there was something more there (long pause). Like actors in films, they say there is always something in a role that they need to work out. But mental illness was interesting to me."