In 1932, Fitzgerald's wife Zelda Sayre Fitzgerald was hospitalized for schizophrenia in Baltimore, Maryland. The author rented the "la Paix" estate in the suburb of Towson to work on this book, the story of the rise and fall of Dick Diver, a promising young psychoanalyst and his wife, Nicole, who is also one of his patients. It was Fitzgerald's first novel in nine years, and the last that he would complete. While working on the book he several times ran out of cash and had to borrow from his editor and agent, and write short stories for commercial magazines. The early 1930s, when Fitzgerald was conceiving and working on the book, were certainly the darkest years of his life, and accordingly, the novel has its bleak elements.