The album title is taken from Nocturnal Turnings or How Siamese Twins Have Sex, a short story by the American author Truman Capote.
Warhol submitted reluctantly to Capote's demand for full creative and editorial control, though editor Brigid Berlin proved adept at winning the author over when changes were absolutely necessary.
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In the third section, "Conversational Portraits", Capote recalls his encounters with Pearl Bailey, Bobby Beausoleil, Willa Cather, Marilyn Monroe and others.
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