"Ball Four" described a side of baseball that was previously unseen by writing about the obscene jokes, drunken womanizing, and routine drug use among players, including by Bouton himself. Bouton wrote with candor about the anxiety he felt over his pitching and his role on the team. Bouton detailed his unsatisfactory relationships with teammates and management alike, his sparring sessions with Pilots manager Joe Schultz and pitching coach Sal Maglie, and the lies and minor cheating that has gone on in baseball.