He has taken everything from her. She may have found him charming at first when she was human, but things have changed since. He drained her dry, turned her into a vampire against her will, took her away from those she loved (family and friends), and now she is trapped in some room. He refuses to let her go, he wants to keep her all for himself, he keeps forcing his way on her and draining her blood again and again. All she has left is despair and apathy He is quite satisfied of the situation on his side, he is in bliss drinking her blood.
The moon symbol is her pendant and the cancer on his shirt. I mention this because 4 of cups is moon in cancer.
I want to point that since the deck is heavily inspired by the Thoth, the keyword for this card is LUXURY.