The image is a hyper-realistic painting of a young woman with her mouth full of stones. She is looking at the viewer with an expression of defiance and determination. Her face is dirty and streaked with tears. Her hair is matted and tangled. She is wearing a blue tank top. The background is a blur of rocks and water. The painting is a powerful and disturbing depiction of a woman who is struggling to survive in a harsh and unforgiving world.