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The focus of Acosta's artistic career is on death, dread, agony, despair, anxiety, melancholy and nothingness in distorted and emotionally-charged depictions of the human condition. Contemplating always that life begins on the other side of despair, his themes tend to focus, also, on the underbelly of life as he attempts to limn the eternal struggle between the individual and his own existence; i.e, man's internal struggle with his inability to live or die; man's existence and it's eternal ambiguity; paradox.