[5] Baerwald supported the album by participating in the "In Their Own Words" tour, along with Lisa Germano, Freedy Johnston, Johnny Clegg, and Michael Barabas.

[5] The album cover is a photograph of bloody hands on top of the American flag; the liner notes contain photos of the FBI file on Baerwald's father.

[10][11] Herb Alpert played trumpet on "A Secret Silken World"; due to its theme of sadism, Joni Mitchell allegedly counseled against recording the song.

"[21] The Calgary Herald noted that Baerwald's "voice—singing, mumbling and shouting those powerful lyrics—carries Triage, with the music pushed down to a subtle supporting role.

"[18] The Los Angeles Times opined that, "like Roger Waters' recent work, Baerwald's well-crafted sonics fail to clothe his ambitious lyrical ideas in sufficient pop appeal.