‘Purge’ by Sofi Oksanen:

It makes oneself want to do just that, entirely. Well, this was until I realised that purging wasn’t in fact the ‘art’ of sticking one’s fingers down one’s throat. Who knew? No, it in fact means to ‘purify’, to ‘cleanse’. Same thing, if you ask a slightly bohemian bulimia sufferer. Either way, purge still works for this one, that is, if applied with a loofah and concentrated in the general open-eye area.

Judging this book by it’s cover, it wreaks of self loathing and bulimia! And the man in the background obviously isn’t sticking around to see which one surfaces first. By the speed on him, my guess is the puke.