ENCLOTHED COGNITION Bill Truels, MD “When one of your patient’s dies, do you ever think of yourself as a Pretender?” I asked Herb, as we sat in the Doctor’s Lounge at Holy Christian Hospital, waiting for our cases to start. “Not hardly,” Herb replied. “It took me six years after medical school to become a plastic surgeon – I’m no Poser – I’m a real plastic surgeon!” “Well, sure,” I answered. “It took me six years after medical school to become a general surgeon. Then I had to pass a written exam, followed by an oral exam to get board certified.” “I’m not talking about credentials, Herb. What I mean is that sometimes I feel like I don’t deserve all this credit and respect- I mean, I’m the same person I was in high school and college. Back then, I put on a white jacket and worked as a busboy in a sorority. People barely noticed me!” “And for good reason,” Herb joked. “You were just a Nerd back then, who studied hard and didn’t know how to enjoy college life!” “True enough,” I said. “But, now people walk up to me and say, ‘Doctor this’ and ‘Doctor that’– I mean, sometimes, when my patients aren’t doing well, I think I don’t deserve all this attention.” “O.K., I’ll just call you Mr. Truewater, if it makes you feel any better!” “I think back to my medical school days. “I was a second year medical student in Chicago, steeped in book learning, and short on social skills.” “I was assigned to do a patient history and physical. I put on my White Coat, told the patient that I was a student, and bravely proceeded to pretend like I was a doctor.” “Then I saw one of my colleagues – you know, the ones that are always one year ahead of you in school – you never catch up to them. Well, Jim had lost most of his hair in college, so he looked older. I saw 16 The Bulletin | 2020 July/August
him walking in the medical ward of Holy Christian, wearing his scrubs, with his white coat and stethoscope – patients thought he was a real doctor!” “I mean, isn’t that what we do – we pretend – we play the role of a doctor.” “True enough, Dr. Truewater, we all have a role to play. You can be humble like a pediatrician or obnoxious like a surgeon!” Herb quipped. “We go through a solemn, almost mystical, White Coat ceremony,” I continued. “They call it a Transformation Ceremony – sort of like an anointing. Then we have a Graduation Ceremony, and we put on a robe and a fancy hat that has a tail on it, and we get a paper certificate that puts an MD or DO after our embossed name – and we keep on playing the role – we keep on pretending that we’re doctors! But do clothes really make the man – or are they costumes that we use to masquerade?” “There’s a professor at Northwestern, Dr. Hajo Adam, who uses the term ‘Enclothed Cognition’ to describe how the clothes we wear affect the way you think, feel and behave,” Herb interjected. “Society gives us a white coat and bestows upon us the role of Healers.” “In a sense, we’re all role players with Enclothed Cognition!” Herb added. “We are who we think we are – it becomes a self-fulfilling prophecy!” “People put us on a pedestal, but we’re all just ordinary people!” I concluded. “Trying to do extraordinary things!” Herb replied. “Besides, it’s not like you’re some Charlatan, or some Great Pretender,” Herb added. “You worked hard to get where you are today – you deserve a little respect, and society gives it to you!” “We’re not movie actors on a stage, Dr. Truewater. Movie actors pretend to be someone who they’re not – and they’re good at it. But we’re not pretending to be doctors – we really are doctors, for God’s sake!”
