The scale of a piece of art represents what the artist wants to tell us about the subject that is represented. In the case of a small portrait of a loved one, the artist is displaying how he wants to keep the portrait close to him, and express a feeling of affection.
A pilgrimage church is a church where pilgrimages are regularly made, or a church along a pilgrimage route, like the Way of St. James, that is visited by pilgrims.