While your images/titles frequently cause me to laugh aloud, I have never, ever felt you are disparaging your subjects. If anything, I can feel your fondness for them...it shines through your work. If you laugh at the time of capture, I feel you laugh with them, not at them. You celebrate, not mock, them.
Alright, this may not be what you were looking for in a critique, but as always, I love the world when viewed through your unique eyes.
The image, in and of itself, is wonderful...the subject's expression, his body language is marvelous, and causes the viewer's imagination to go into hyperdrive: "Where is this place, who is Malcolm and what is he talking about so avidly? Who is his audience? What is he eating? Is that ectoplasm he's touching? A lost loved one, now found, return to share his sandwich? I must know!"
The strange lighting and distortion in the surrounding environment, glimpsed details--the texture of the wall, the shadows, books, chairs, cracks in the ceiling, the image on his t-shirt almost, but not quite, discernible--all add to a vividly surreal look, drawing you into this strange, fascinating, dream-like and totally free-wheeling world that is Paul.
And then you have the icing on the cake...your titles, which add another spin to the image and another tantalizing glimpse into the that unique and wildly creative mind.