A former psychiatric nurse, his works delve into the complexities of the human psyche and experiences with mental illness. Sayer brings a unique perspective that explores the intricacies of the mind and relationships, often with an emphasis on empathy and understanding. His style is incisive and introspective, allowing readers a glimpse into the inner lives of his characters. The author's writings are marked by a profound insight into the human condition.
An account of a week in the life of a disenfranchised young man, secret and not-so-secret road rager, supermarket rager, curser of the aged and the unborn alike, whose tale is threaded with a second narrative, that of Luke and Darren, whose fate may or may not be linked with his.
THE COMFORTS OF MADNESS is the unspoken monologue of Peter, a 33-year-old catatonic psychiatric patient, who is selected for an intense and controversial process of rehabilitation. Published in 1988, the book won that year's Constable Trophy, the Whitbread First Novel award, and the Whitbread Book of the Year award. It has been translated into ten languages.