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Very intriguing shot. Immediately upon seeing this image of yours I visually recalled a photograph by Robert Frank called "Mary" (attached). Also, an image that comes to my mind is a painting by Luis Cruz Azaceta entitled "The Scream" (a painting that strongly references Eduard Munch's "The Scream")... I definitely see a familiarity -at least in content/ portrayal- between the crazed eyes of your subject and the eyes in Azaceta's "The Scream." I am curious to know if you would relate either of these images to this piece or if there were any specific references you had been looking at when you formed the idea. Great image!