Wow, wow, wow!! Such an amazing photograph, it is so powerful and beautiful at the same time. I love the use of the black and white and cropping is just perfect, along with everything else is all I can say.
Amazing shot; this is very moving. I love the way his hands are, that gesture is just so...open on so many levels. It is also such a passive stance; he is accepting that he is at the mercy of something beyond himself (I am not talking spiritually). Just wonderful.