In the autumn of 1908 Munch suffered a psychological and physical collapse and sought treatment at the private Copenhagen clinic of Dr. Daniel Jacobson. He remained there for over half a year. Some years earlier, he had been wounded by a shot from his own pistol in a quarrel with his then lover Tulla Larsen. Munch’s voluminous writings attribute this event to the beginning of the decline for which he sought treatment. Here, the wounded hand is sharply focused in the foreground. Towards the end of his stay at the clinic, Munch painted a self-portrait which is related in posture and gesture, if not in mood, with this photograph.