"The fact is that the woman’s experience of a repetition of castration at menopause is a real one—not in the narrow focus that Freud used, but rather in the broader sense of Rank, the existentialists, and Brown. As Boss so well said, “castration fear” is only an inroad or an aperture whereby the anxiety inherent in all existence may break into one’s world. It will be easy for us to understand at this point that menopause simply reawakens the horror of the body, the utter bankruptcy of the body as a viable causa-sui project—the exact experience that brings on the early Oedipal castration anxiety. The woman is reminded in the most forceful way that she is an animal thing; menopause is a sort of “animal birthday” that specifically marks the physical career of degeneration. It is like nature imposing a definite physical milestone on the person, putting up a wall and saying “You are not going any further into life now, you are going toward the end, to the absolute determinism of death.” As men don’t have such animal birthdays, such specific markers of a physical kind, they don’t usually experience another stark discrediting of the body as a causa-sui project. Once has been enough, and they bury the problem with the symbolic powers of the cultural world-view. But the woman is less fortunate; she is put in the position of having all at once to catch up psychologically with the physical facts of life. To paraphrase Goethe’s aphorism, death doesn’t keep knocking on her door only to be ignored (as men ignore their aging), but kicks it in to show himself full in the face."