In this image it looks like she is missing her lower jaw, which makes the image more disturbing especially with the ways her hands are mutilated and covered in blood. The way she is holding her head looks like she is in agony. The black background represents an endless void. This is a close up shot and the camera is level but her head is tilted to give the feeling of anguish.
Pioneer of Surreal Photography - Jerry Uelsmann is a pioneer of surreal photography. He began assembling photographs from multiple negatives decades before digital tools like Photoshop were available. Back in the day, he was even friends with legendary nature photographer Ansel Adams and taught workshops with him in Yosemite for years.
Jerry Uelsmann. Forty years ago, Jerry Uelsmann was an avant-garde photographer, using multiple negatives in a darkroom to create a single print that juxtaposed images in a strange, surreal way. Manipulating an image was considered heresy by some photography purists back then. Today Uelsmann is the traditionalist, continuing to use multiple enlargers in a darkroom rather than computer programs such as Photoshop for his ravashing works.
When discussing truth, we often associate the truth about ourselves, which is often unknown. We gather truth through our senses, such as sight. A man of 70 may feel as young as he did 40 years ago, mentally, but his reflection reminds him of just how old he is. This image gives the impression of someone looking down at their hands, wrinkled and withered, they are reminded of their age and the life they've lead, reminded by the truth, despite how they feel inside.