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The song by Nirvana was through the eyes of an aborted fetus-- Or, at least, that is one of the interpretations. The Heart-Shaped Box in this case could be a name for the uterus. Courtney Love gave Kurt Cobain an actual box shaped like a heart, containing love letters, the head of a baby doll and other things symbolic in their relationship. Therefore, the title of the song has a double-meaning.
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