I really like this photo as it is not just disguising the person themselve but it is also disguising emotion that the girl is feeling. It almost gives the impression of an explosion of feeling and emotion. It can also present the feeling of insanity.
Relationship between life and death. inside, outside: No information about this but it is two different photographs put together to create a half skull, half face image. That heavily relates to the theme of inside, outside and in between.
Distortion of scale and altered reality. The idea that the night sky could be a veil through which a much larger and superior being can keep an eye on us, is a distortion of size and scale, that is on the one hand comforting, and on the other, disturbing.