The song title is an acronym for "Fucked Up, Insecure, Neurotic, and Emotional", as stated in the album's liner notes.
Tongue-in-cheek lyrics are prevalent, including "she's got the Cracker Jack, now all I want's the prize", "I got the right key baby, but the wrong keyhole", "I shove my tongue right between your cheeks", etc.
The chorus repeats the word "Alright", followed by a person who thinks the narrator is alright, including "your daddy", "your mama", "my old lady", "my little sister", "my brother", "even Tipper" (a reference to Tipper Gore who headed the Parents Music Resource Center censorship campaign during this time), and "Joe Perry" (a reference to Aerosmith's lead guitarist).
was one of the potential titles brainstormed for the album that became Pump, but was blocked by Geffen A&R man John Kalodner.
"[5] He says that it "doesn't so much rock as spontaneously combust" with piled up guitars, broken drumskins and a groove that is uniquely Aerosmith's, while Tyler "rides the musical wave" with his vocal performance.
The acronym is also discussed in the movies The Italian Job [Freaked Out, Insecure, Neurotic, Emotional] and Scream 2 and in the show Happy Valley (series 1 episode 4).
Liv Tyler also references this as a nod to her father at the end of the movie Super starring Rainn Wilson.
The song is featured in Walt Disney World's Rock 'n' Roller Coaster Starring Aerosmith in the coaster car with the license plate "BUHBYE" which also features "Young Lust" and a reworked version of "Love in an Elevator" that is re-titled as "Love in a Rollercoaster".
was also referenced in the BBC drama Happy Valley by Sgt Catherine Cawood in Season 1 Episode 4.