Some issues commonly faced by dogs raised in puppy mills include fearfulness due to lack of socialization, compulsive behaviours, house-soiling and sensitivity to touch.
Among the ill effects of overconsumption he says are: loss of creativity, wasted time, inhibited critical thinking and increased feelings of fearfulness and aggression.
An air of sorrow and fearfulness emanates from the picture, and tears well from the eyes of the grief-stricken girl as she looks apprehensively upward.