Wonder if the image is about booze and its effects. Dutch courage to the right, temperament change to the left, and at the very top, what happens when you're plastered?
For what seems to be quite an abrasive thing to think about, the colours are quite soft. It's really pleasing to look at. The pink must reminds me of Dumbo's "Pink Elephants on Parade," and the alcohol-related hallucination he has during that song. Shading, lighting and anatomy are on point; I have no complaints whatsoever and I think it's brilliant.
It simply took me a while to come up with my understanding, however incorrect it may be, of what the image is about -- but it makes me appreciate it even more, than if it were just an aesthetic piece without much decipherable meaning I guess.