Set against the backdrop of the Prague Spring period of Czechoslovak history, the novel explores the philosophical concept of Nietzsche's eternal return through the intertwined lives of four characters: a womanizing surgeon, his intellectual wife, his naïve mistress, and her stoic lover. The narrative delves into their personal struggles with lightness and heaviness, freedom and fate, love and betrayal, and the complexities of human relationships, all while offering a profound meditation on the nature of existence and the paradoxes of life.

"Changes" is a novel that explores the complexities of modern African life, particularly for women, through the story of its protagonist, a young woman named Esi. After enduring an unhappy marriage, Esi decides to divorce her husband in pursuit of independence and personal fulfillment. She then enters into a polygamous marriage with a man named Ali, believing it will allow her more freedom and respect. However, as the narrative unfolds, Esi confronts the realities and challenges of her choices, including societal expectations, the intricacies of love, and the struggle for a sense of identity amidst the changing cultural landscape of contemporary Ghana. The novel delves into themes of feminism, tradition, and the evolving roles of women in society.