Which technique of creating emphasis is in primary use in this painting?

There are many ways to create emphasis in a painting. These are the main techniques used:
Contrast
Position
Leading Elements

What do you mean by this?

The gregorian chant was a major cultural milestone in the middle ages. it was one of the first codified forms of music meant to be played as written, where previously it was difficult to mass-produce and disseminate any music. what's more, these chants were also some of the first examples of musical notation: the notes and bars of today's music sheets are a reflection of centuries of evolution beginning with these chants. it became official throughout the entirety of the catholic church, meaning that nearly all of europe followed this musical notation and styling.