I recognise this picture. For example I remember when I used to commute by motorcycle getting cut off by a guy driving a van who had his phone clamped in the crook of his neck and was writing something in a notepad with a pencil and steering with a combination of the notepad and his knees. This is turning at a really busy junction in London[1] during rush hour traffic.

[1] just south of the river at Vauxhall bridge