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It's interesting that she hasn't had a title track since Party Queen - something that had previously been very rare in her discography has now become the norm.
In my head, I hear her talking about the title TROUBLE in her normal vague way of "Certainly you must all now understand why I called this album TROUBLE? TROUBLE has many meanings, doesn't it? It is something you can cause, or something you can be, something others can case for you, or something you can find yourself in. Maybe you need help, or maybe you need to be stopped."
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