After almost four years of unsuccessful attempts to conceive, author Sarah Kohn has received many unsolicited advice from people who are trying to help. She lists some of the most bizarre comments she has received, such as "Have a little patience" when requesting for prayer from church leaders, or "Imagine yourself pregnant" from family members, but these comments have crossed the line from positive thinking to new-age manifesting. She suggests that instead of expressing sympathy for the infertile, instead of focusing on the emotional issues surrounding the issue of infertility. Kohn suggests that people who wish to start a family should focus on these issues instead of addressing them.