I see a lot of rage and misery in this picture, even some betrayal, but it's missing something. Insanity is maddening mix of any motions not just several. I think you need more hopelessness and fear, but then that's just my opinion.
you've combined strong metal textures with soft skin textures it an excellent way; and the face is really expressive under the burden of pain and insanity...
thank you very much for this piece. great work.
Either way, this IS art.