Bývalý psychiatrický ošetrovateľ, ktorého diela sa často ponárajú do hlbín ľudskej psychiky a skúseností s duševnými chorobami. Sayer prináša jedinečnú perspektívu, ktorá skúma zložitosti mysle a vzťahov, často s dôrazom na empatiu a porozumenie. Jeho štýl je prenikavý a introspektívny, čo čitateľom umožňuje nahliadnuť do vnútra postáv. Diela tohto autora sú poznačené hlbokým vhľadom do ľudskej kondície.
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.