It is always a symbol of exclusion in cases of spiritual "blindness" (the Jews in Christian discourse, in my example), but in other cases it may be just a way of representing something difficult to visualize in a work of art. The blindfold is only a symbol, but the content of the symbol depends on the context. However, psychic or neurological disabilities, (sorry, I do not master the proper terminology), which were incomprehensible to the society of the time, they were usually cause of systematic social exclusion, even among the upper classes. Therefore, the social exclusion or inclusion was due more to limits on the possible "utility" or "futility" that these disabilities assumed, rather than the disability itself. In the Middle Ages, it was very difficult to reach adulthood without a disability, because diseases, injuries and infections were very common, and certain syndromes genetically transmitted looked increased by marriages between close relatives or ignorance of the ways of transmission. In any case, the question you ask me is very difficult to answer. I do not have doubts.This is also example of achieved social inclusion, however I do not know entire life history of Abby and Brittany, and their family earlier experiences. They were allowed to participate, by generally friendly to persons with disabilities, American society. Abby and Brittany enjoy the social life fully as Siamese twins. Certainly, operation of Daria and Olga was a way for a normalization their lives, in consequences it supported social inclusion. According to anthropologist Daniel Miller, objects continually assert their presence as simultaneously material force and symbol. Our Polish example shows on two pictures Daria and Olga which have been separated by surgeons in Saudi Arabia. I can not be certain or, as in the case of Siemese twins: what is a social inclusion and what is exclusion. There are lot examples of Siamese twins on websites I chosed example of famous sisters from Minnesota - Abby and Brittany Hensel, who weren't separated.
Some of them lead life as Siamese twins the other, because of current achievements of medicine and the anatomical possibilities, were separated, as our Polish Daria and Olga.
You asked if such infant survive ? I have knowledge of examples in different historical times. I have impression of kind of artistic harmony achieved in this artifact, depicting in fact corporeal disharmony. Very interesting depiction of two head twins.
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