In 'Leufredus', one of the short stories in Elizabeth Stuckey-French's The First Paper Girl in Red Oak, Iowa, the narrator is working as a rehab counselor because, she says: 'I thought it would expose me to fascinating pathologies while at the same time reassuring me that I was normal, sort of an innoculation.' She is wrong, of course, although Stuckey-French's stories have that effect on me: they plunge us into a world of such eccentricity that we can only walk away with the feeling that at least we must be normal.
There are a number of dualities in these stories: truth versus fiction, reality versus fantasy, youth versus adulthood/old age, the spoken versus the unspoken, although there can be many stages between those dualities, there are times when they merge or become the opposites of themselves, such as the young being more mature than their parents, the unspoken more eloquent than the spoken, etc. Automatic verbal responses can hurt, but so can thinking too much before you speak.
In 'Electric Wizard' the narrator says: 'Our conversation had become completely unmoored.' That seems to sum up The First Paper Girl in Red Oak, Iowa quite well.
Quirky, human, slightly insane, delightful. And that title isn't really significant, or rather, its just a fine title, so therein lies the significance.