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.
Don McCullin is one of the greatest war photographers. This is just one of many, many of his images. They are stunning. http://www.guardian.co.uk/culture/2010/may/22/don-mccullin-southern-frontiers-interview http://www.nytimes.com/1997/10/30/style/30iht-don.t.html?pagewanted=all