This has been discussed on The Ledge a few times before. From what I recall many believe the "mirage" of the old woman is intentional and it certainly fits with the title. For what it's worth I see the old lady's face in the clasped hands myself. I don't think it's ridiculous at all but it could be unintentional.
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"I want to come back as a Yorkshire Terrier, owned by me." - Stevie Nicks
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