I can't agree Eric, precisely because he deliberately placed the subject at odds with that element in the scene. To be sure, if this was a candid or spontaneous shot, I would be inclined to overlook the pole coming out of the head. But it's hard to overlook in our visual culture, especially without a narrative for doing so. Maybe you have one. Frankly, I think it is excellent character portrayal with good tonal distribution. No need to emphasize what is not there. Excellent placement of subject between the sewer grate, the house and the sidewalk and pole. The subject slightly turned and the leg and crutches at oblique angles all contribute to the image. Good separation of subject from the recognizable but receding background. I can't see any religious symbolism in this image. One could underline perseverance in the face of adversity and disability. That's character. And that is what I see. I would clone out the pole. After all, in a manner of speaking, you placed it there!
JR