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The opera is set in a mental hospital, with the patients acting out the tales, although some subsequent revivals have altered the setting. (See Background and performance history above.) The first scene, The Gold Key, is not one of the Grimms' fairy tales, although the title is an allusion to their story, The Golden Key. In both Sexton's original book and the opera, this poem introduces the sequence of re-told fairy tales to follow. As in the original book, each of the subsequent tales also has its own introduction and coda in which the poet comments to the audience on her perception of the significance of the story.
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