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As We Are Now is a slim novel, first published in 1973, the same year as Journal of a Solitude. The seed for the novel appears in Journal of a Solitude in Sarton's horror at the first nursing home her friend and gardener was placed in, transposed into the last months of the life of a former high school math teacher, Caro Spencer, who had an independent, unconventional life until a heart attack put her at the mercy of her brother and then an abusive nursing home. The novel is an prescient and intense exploration of one woman's psychological responses to that abuse, in the form of her journals of her experience, and the actions she takes to end the abuse.
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