6 minute read
Enclothed Recognition
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 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!”
“I saw an interview with a rock star on TV,” I interjected. “He says he adopts a Persona on stage when he’s performing. Isn’t that what we all do? I mean, if you’re a judge in front of the jury, you put on a black robe, and you learn to play the role.”
“We adopt a very serious doctor Persona when we’re doctoring. Then we go out and have a beer at the local pub to let off steam!”
“True enough,” Herb replied. “But do you think it’s any easier for other professions? Take the ministry – do you think that first time preachers have a few selfdoubts when they give their first sermon, preaching hellfire and brimstone to a crowded congregation, and promising eternal life to the believer?”
“We each have a role to play, Dr. Truewater. The doctor’s role is to keep the patient alive and healthy. The preacher’s role is to marry them and bury them!”
“That’s all well and good, Herb. But we’re dealing with human lives here – we’re claiming to cure people of their afflictions by performing surgery and writing prescriptions. I don’t know if I can promise that!”
“I mean, when one of my patient’s dies, I feel responsible. I remember one resident I trained with who didn’t want anybody to die while he was on duty
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– like he would be blamed. Nobody wanted to follow him on duty!”
“For the first five years, I looked too young and had some self-doubts. Then, for the next thirty years, the doubts vanished and everything was fine. Now, in the last five years, with my patients becoming senior citizens, I’m beginning to realize my shortcomings. I’m busy extolling the wonders of modern science, but my patients are dying, for God’s sake – I’m calling the preacher to help!”
“Most of the time we don’t cure people, Dr. Truewater – we don’t prevent death – as doctors our role is to delay death and improve the quality of life .”
“ Besides, it’s been shown that if you honestly believe that you’re a doctor and you convey that self-confidence to your patient, then your patient is more likely to be healed! It’s important to believe in yourself, Dr . Truewater, so that your patients can believe in you!”
“Of course, you have to be honest with your patient,” Herb added . “You can’t promise pie in the sky – you have to be realistic with your patient and explain the downside .”
“ And as a physician, it’s important to give back to the community – look at those eye doctors who travel to Africa every year – or those doctors at St . Jude who treat children with cancer for free . Look at those missionary doctors who travel to far-off lands to treat disease and heal the afflicted!”
“But, you’re right in a sense, Dr . Truewater,” Herb added after further introspection.
“We all have self-doubts from time to time . In that sense, we’re all actors – we’re all role playing. You put on a White Coat and a stethoscope and you go play ‘Doctor’. Then you go home and you play, ‘Mommy’ or ‘Daddy’ and ‘Husband’ or ‘Wife’.”
“ Perhaps the most important thing,” I concluded, as I put on my cap and mask and headed back to surgery, “is to learn to play multiple roles – don’t play ‘Doctor’ so hard that you forget to take off your White Coat, slip into something casual, and play ‘Parent’ or ‘Spouse’ when you get back home!”
