Jacqueline Susann initially called the novel
The Big Man but changed her mind after visiting comedian
Joe E. Lewis on his deathbed. Lewis, who had famously said, "You only live once—but if you work it right, once is enough," apparently reconsidered, for he told Susann, "Once is
not enough." Susann was diagnosed with cancer two months before the book's scheduled publication date. Her usual efforts at promotion—including a grueling book tour—had to be curtailed. But Susann soldiered on; as her husband,
Irving Mansfield, said, "The day the book came out, she was booked on the
Today show. She left Doctors Hospital after a blood transfusion, did the show, walked around the corner, got into an ambulance and went back to the hospital." Susann was candid about the theme of the book, stating that it was one of "mental and spiritual incest." After her death, film critic
Andrew Sarris pointed out, "If there is any single key to the oeuvre of Jacqueline Susann, it is to be found in an extended
Electra complex." Susann dedicated the book to her father, Robert Susann (1887–1957), and her husband. ==Reception==