Sixteen years ago, I completed one of my medical school rotations at the Tranwell Unit for psychiatric patients at the QE Hospital in Gateshead. I really enjoyed it, and very nearly applied to specialise in psychiatry a few years later as a result.

The front part of the unit is octagonal, with an enclosed octagonal courtyard in the middle. In this courtyard stands a 3.5 tonne granite sculpture which shows a staircase ascending through an archway leading to… well… nothing. Just a sheer drop.

I vividly remember a seminar in which one of the psychiatrists asked us what we thought of the sculpture, which he introduced as Inside Outside. Some people commented that a staircase to a sheer drop felt a little unnecessarily suicidal for a psychiatric unit. The psychiatrist helped us to reflect on the degree to which the answers reflected our preconceptions about psychiatry. I remember their suggestion that the staircase ascending through the archway symbolised people coming from being stuck in their inner world and rejoining the outside world, and ascending into happiness as they did so.

I hadn’t thought about that seminar in years. But yesterday, my eye was caught by the way that this sculpture at Northumbria University had been enhanced by the luscious planting surrounding it:

On searching the web, I learned that this has the slightly unimaginative title Book Stack, and was unveiled in 1992 to celebrate Newcastle Polytechnic’s transformation into Northumbria University. As it turns out, the artist, Fred Watson, is the same bloke who created that sculpture in the middle of the Tranwell Unit that I’d discussed all those years ago.

I was surprised that a sculpture as brazenly literal as Book Stack could be by the same artist as something as seemingly abstract and symbolic as Inside Outside… but perhaps I just don’t fully appreciate either of them!