The title of the collection refers to its central cycle of poems, which concerns a pair of Siamese twins as a metaphor for Canada.
The twins dream of separation, and speak sometimes singly, sometimes together within the poems.
The tension of their desire for separation and their inescapable connection evokes the French-English tensions in Canada and Quebec separatism.
[2] However, the metaphors of Two-Headed Poems can also be interpreted on a more personal level to refer to the tensions between lovers.
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