Conversational speech rhythms versus the formality of iambic pentameter is not that simple a judgement call, where you have one inflexible contextless rule that applies to all circumstances all the time, especially when it comes to the presence or absence of modifiers.
In the context of this poem "really" really did not stand out to me actually, but if I were to have to make up some story about the work it is doing, then the "really" might be giving the emotional emphasis of emotional relief giving the narrator's emotional troubles, as in the narrator really needed the laughter and she really laughed. Does one need that emphasis at that point in time? One only has so many syllables to work with. Does it work or does not work here?
Maybe or maybe not. Is it really that big of a deal actually?
Storm in teapots, or teapots in storms?
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