This painting is about Paternalism towards Deaf people. This is about how the system controls the Deaf people. The "Hearing Masters" take charge of the Deaf people and treat them as "Deaf Subjects", according to Dr. Paddy Ladd's book Understanding Deaf Culture: In Search of Deafhood, Chapter two, on page 103-104. This painting is inspired by Edvard Munch's The Scream.
In the painting, the signings on the bridge stand for: Take Over as in taking in charge, giving sympathy toward Deaf people. The two black silouette figures standing far aside the bridge are the oral/aural system, signing 'talk' and 'listening.' The screaming person is the Deaf person signing 'STOP', enough is enough. There are 'painter's blue tape syndrome' river flowing along and under the bridge. The yellow island shows Deaf people were forced to listen and to speak.
To better understand what Paternalism does to Deaf people, see the vlog inside the Deafhood Discussion's website.