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WEBMISTRESS speculates:
This album came out about the same time as Lindsey's Go Insane and I think this song might have been a response to the title track of that album. She says he claims that she's the one to blame for his inner turmoil, but he's doing it to himself. He keeps repeating the same destructive patterns - she asks him to look at who he's with. I think that even Lindsey admits to Stevie that his girlfriend at the time, Carol Ann, was "a lot like you" (see Go Insane). Stevie goes on to talk about how, even though they're not together, she's "never gone from" him - she can still provide him inspiration for all that angry music! She encourages him to "come back" - to deal with her. In fact, she's lying in wait for him to deal with her - if he doesn't, "nothing can be saved here." She repeats at the end that she's not the one to blame - he is, because he never changes - and changing is that big problem that keeps popping up (see, for instance, Outside the Rain)!