The song, written by Jeff Magnum of Neutral Milk Hotel is widely interpreted as a reference … either loose or very specific … to "The Diary of Young Girl" by Anne Frank.
I accept that interpretation, but to me, on some elemental level it feels like a disability song.
"Two Headed Boy" originally appeared on the album, "In the Aeroplane Over the Sea". It is one of a handful of albums that when I listened to it for the first time, I listened all the way through, stunned, and then immediately listened to all of it again.
I like Dresden Dolls, too, but a little of them goes a long way.