Vance describes his upbringing and family background while growing up in the city of Middletown, Ohio. He writes about a family history of poverty and low-paying, physical jobs that have since disappeared or worsened in their guarantees, and compares this life with his perspective after leaving it.Though Vance was raised in Middletown, his mother and her family were from Breathitt County, Kentucky. Their Appalachian values include traits like loyalty and love of country, despite social issues including violence and verbal abuse. He recounts his grandparents' alcoholism and abuse, and his unstable mother's history of drug addictions and failed relationships. Vance's grandparents eventually reconciled and became his de facto guardians. He was pushed by his tough but loving grandmother, and eventually Vance was able to leave Middletown to attend Ohio State University and Yale Law School.