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We offer a new Hamiltonian formulation of the classical Pais-Uhlenbeck Oscillator and consider its canonical quantization. We show that for the non-degenerate case where the frequencies differ, the quantum Hamiltonian operator is a Hermitian operator with a positive spectrum, i.e., the quantum system is both stable and unitary. A consistent description of the degenerate case based on a Hamiltonian that is quadratic in momenta requires its analytic continuation into a complex Hamiltonian system possessing a generalized PT-symmetry (an involutive antilinear symmetry). We devise a real description of this complex system, derive an integral of motion for it, and explore its quantization.

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