I decided to really look at this card instead trying to rely on memory. The thingy with the lilies and roses on the left side of the card are also on the same side of as the body of water. It's also the same side that he holds the wand on, so maybe that wand has to do with emotions, following intuition, while he hold the little world in his right hand, using his logic and the whole thing is a question, which to choose?
The wand is resting on the wall, so I'd say his emotions, feelings or intuition are grounded on a solid foundation, while the logical/rational physical "reality" is resting in his hand, sort of floating in air and he does seem lost in thought, his "world" is so much smaller than the one he can see all around him.
Another thing I see, the wand that is bolted to the wall has some really big mountains behind it, which I believe has a lot to do with attainment, usually spiritual, but I think this one would be of his desires and drives. Wow, I finally noticed the tiny two towers (like on the Moon card?) just beside that wand bolted to the wall and it looks like a path with a fork in it. Yipes, this isn't helping to clarify this card at all, but it sure is making this interesting.