Ordinarily my first response would be 'it's way too overexposed'. But it works for this. Something about the extreme harsh light but subtle, soft shadows, furthers the idea of good/bad health, both physical and mental. Being in the spotlight, focused on, poked and prodded and tested.
I absolutely love the expression and hand-to-mouth contact, and speaking of contact i love the eyes. They still bore into the viewer even though they're barely discernible. I love this technique of making the person so unfocused: barely visible, almost ghostlike, and making the pills the 'real' hard subject. Though, the message is a wee bit unclear, mixing up these elements (hand to mouth, somewhat angry, loaded expression, and the handful of pills, could lead the viewer to think of suicide. But it's easily just a show-tell; an offering, a 'this-is-what-my-life-is'.
The bottom of the image is a little messy (the patches of severe light and shadow under the wrist. Also the fingers of the front hand have been 'flattened': the extreme exposure has blotted any hope for detail for them.
Overall though, effect achieved! A chilling, saddening, effective representation of life with medication.
It's weird cause like, part of what inspired these were how like seriously gutted I felt after reading Casey's last LJ entry (I made these like a couple hours later) and I wanted to try the really bright white thing kind of as a tribute to you. But I didn't say so in the descriptions cause they're about a lot of other things too and I don't want my shit to restrict what anyone else can get out of it.
I really can't put into words how incredible this is. The focus is great, but it's enhanced so much more by the lighting and white effect you have. I really like how it has a "spiritual" effect, with you in the background obscured by the light, but you're also offerring a "physical" cure, and it's such a beautiful juxtaposition. I honestly can't love this enough, it's astounding.