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[Since her granddaughter is an excellent student,she had little reason to worry.] Still later in the hour she said,''My doctor referred to these black spots on my head as God's subpoenas.''[She was referring to brown,not black,senile freckles on her scalp.]She went on to explain that she had been having difficulties getting her hair done properly and perhaps this was because she was contagious. The significance of death is often inappropriately minimized by psychiatric writers,reflecting the universal tendency to deny its reality;it is also sidestepped by some writers through the use of such psychoanalytic constructs as castration anxiety,which has been held to be the basic fear.