There should be no connection to alchoholism and childhood. Unless this is a psychopathic kid growing up to be a serial killer, this picture doesn't connect to the shoot at all.
at first look, i didn't get it, but now i do and having come from a childhood that was heavily influenced by an alcoholic father, i can't believe i didn't get it at first. i think the photo seems a little out of focus, but the concept has a lot of impact and really makes you think