Altered book - I bought one similar to this at a craft fair - a vintage edition of Pollyanna. I sat and read it (very carefully) and still enjoyed the story, which I appreciated even more because it was so beautifully decorated.
After I sold my large black and white box I just had to do something else in monochrome tones. I've got a few wonderful small notebooks to work with at . Classy Cats and Coffee Polymer Clay Art Journal