In Scream, her first memoir, Janowitz recalls the quirky literary world of young downtown New York in the go-go 1980s and reflects on her life today far away from the city indelible to her work. As in Slaves of New York and A Certain Age, Janowitz turns a critical eye towards life, this time her own, recounting the vagaries of fame and fortune as a writer devoted to her art. Here, too, is Tama as daughter, wife, and mother, wrestling with aging, loss, and angst, both adolescent (her daughter) and middle aged (her own) as she cares for a mother plagued by dementia, battles a brother who questions her choices, and endures the criticism of a surly teenager.