The album title alludes to the troubled advice columnist in Nathanael West's Depression-era novel Dear Miss Lonelyhearts
. Willett explained in the same interview: "I think the idea of a main character who is an advice columnist and is answering these letters from really desperate people who want some kind of help, and the idea of the songs being little letters or attempts to ask for help - something really resonated there. Something about the advice columnist having this kind of spiritual crisis about how to answer these people' really sad letters struck me as being very timeless and inspiring."
Bertrand - Paris, France