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man head pain expression emotion portrait mental health oil painting canvas brushstroke texture dark gritty realistic intense dramatic moody somber melancholy despair hopelessness anguish suffering torment agony misery unhappiness sadness sorrow grief heartache pain hurt injury damage harm affliction ailment disease illness sickness disorder condition problem issue difficulty challenge struggle trial tribulation ordeal misfortune calamity disaster catastrophe tragedy heartache breakup divorce loss death grief mourning sorrow sadness melancholy despair hopelessness anguish suffering torment agony misery unhappiness