An Ethical Critique of the Doctor’s White Coat and the Patient’s Gown

This article presents an ethical critique of clinical attire- specifically the doctor's white coat and the patient's hospital gown- through the lens of <i>enclothed cognition</i>, which posits that clothing influences cognitive processes and social interactions. The white coat symbolizes medical authority and professionalism but may unintentionally reinforce hierarchical dynamics, overconfidence, and emotional detachment. Conversely, the patient gown may often evoke vulnerability, depersonalization, and diminished respect for autonomy, disproportionately affecting marginalized groups and exacerbating health inequities. Drawing on empirical case studies, ethical theory, and institutional policies, the analysis reveals how clothing in healthcare is a moral artifact shaping power, dignity, respect for autonomy, and justice. The article calls for context-sensitive, inclusive reforms in clinical attire policies, emphasizing the integration of symbolic awareness and patient-centered design. Reimagining medical garments as tools of ethical care-not mere uniforms or convenience- can foster more equitable, respectful, and relational healthcare environments.

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Publication Details

Journal
The American Journal of Bioethics
Published
2026-03-05
DOI
https://doi.org/10.1080/15265161.2026.2632007
Primary Topic
Body Image and Dysmorphia Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

An Ethical Critique of the Doctor’s White Coat and the Patient’s Gown

Ya’arit Bokek-Cohen
The American Journal of Bioethics
Body Image and Dysmorphia Studies
article

An Ethical Critique of the Doctor’s White Coat and the Patient’s Gown

Ya’arit Bokek-Cohen
article en

Abstract

This article presents an ethical critique of clinical attire- specifically the doctor's white coat and the patient's hospital gown- through the lens of <i>enclothed cognition</i>, which posits that clothing influences cognitive processes and social interactions. The white coat symbolizes medical authority and professionalism but may unintentionally reinforce hierarchical dynamics, overconfidence, and emotional detachment. Conversely, the patient gown may often evoke vulnerability, depersonalization, and diminished respect for autonomy, disproportionately affecting marginalized groups and exacerbating health inequities. Drawing on empirical case studies, ethical theory, and institutional policies, the analysis reveals how clothing in healthcare is a moral artifact shaping power, dignity, respect for autonomy, and justice. The article calls for context-sensitive, inclusive reforms in clinical attire policies, emphasizing the integration of symbolic awareness and patient-centered design. Reimagining medical garments as tools of ethical care-not mere uniforms or convenience- can foster more equitable, respectful, and relational healthcare environments.

The American Journal of Bioethics
Netanya Academic College (IL)
Reduced inequalities
Openalex Percentile: Top 38%
Body Image and Dysmorphia Studies
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