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man portrait head hands face expression emotion oil painting canvas art realism melancholy sadness sorrow grief despair hopelessness misery anguish torment suffering mental health illness disease disorder depression anxiety stress trauma abuse neglect abandonment loneliness isolation alienation estrangement disconnection detachment numbness emptiness void meaninglessness hopelessness despair existential crisis identity crisis midlife crisis quarter life crisis aging decline deterioration degeneration decay fall collapse ruin destruction annihilation oblivion