This is Spencer's final self-portrait and one of his last paintings. In December 1958 he discovered that he was suffering from cancer and underwent an operation. Unfortunately the malignancy was not excised and Spencer died on 14 December 1959. Five months before his death he stayed with friends in Yorkshire where he painted this portrait. Although seriously ill he finished the picture in five days, in the drawing room of the house, using a bedroom mirror. The work is remarkable for the unflinching scrutiny of the artist's gaze, and its use of extreme close-up to convey a sense of physical and psychological intensity.