Created during Modigliani's stay in Southern France (1918–1919), this late work secularizes the traditional sacred Madonna and Child archetype through a marginalized subject. Modigliani achieves monumental structure through extreme formal economy: the composition relies on vertical geometry, Mannerist elongation, and vacant almond eyes. The canvas synthesizes archaic sculptural abstraction, Byzantine iconography, and early 20th-century Parisian modernist linearity.