As the film opens, Dr. Malcolm Crowe (Bruce Willis) a prominent child psychologist, returns home one night with his wife from an event in which he was honored for his efforts with children. The two discover they are not alone - a disturbed, nearly naked man named Vincent Grey (Donnie Wahlberg) appears in the doorway of their bathroom with a gun. He says, "I don't want to be afraid anymore." Vincent is upset that Crowe has not helped him, and Crowe realizes that Vincent is a former patient he treated as a child for his hallucinations. He condemns Malcolm for his inability to help him and shoots him in the stomach, and seconds later turns the gun on himself. The scene fades away with Malcolm's wife by his side, aiding him.
Months later, next fall, Malcolm returns to work with another frightened boy, 9-year old Cole Sear (Haley Joel Osment), with a condition similar to Vincent's. Malcolm becomes dedicated to this patient, though he is haunted by doubts over his ability to help him, after his failure with Vincent. Meanwhile, he begins to neglect his wife, with whom his relationship is falling apart. Malcolm earns Cole's trust and Cole ultimately confides in him that he is clairvoyant and can "see dead people." Though Malcolm is naturally skeptical at first, he eventually comes to believe that Cole is telling the truth, and that Vincent may have had the same ability as Cole. He realizes this one night, as he is listening to one of his tapes recorded while he was treating Vincent, and he hears pleading voices of dead people in the background. He suggests to Cole that he try to find a purpose for his gift by communicating with the ghosts, perhaps to aid them in their unfinished business on Earth. Cole is at first skeptical about this advice, as the ghosts terrify him, but soon decides to try it.
Cole communicates with the ghost of one girl who appears in his bedroom and appears to be sick. He finds out where the girl, Kyra Collins (Mischa Barton), lived and goes to her house, where a funeral reception is being held for her. Kyra's ghost gives Cole a videotape (inside a box), which Cole gives to Kyra's father. The tape reveals that when Kyra was bedridden with illness, her mother was poisoning her food, which led to Kyra's death (this behavior has been suggested as Munchausen syndrome by proxy or factitious disorder).[1] Empowered now by his ability to use his gift to positive effect, Cole confesses his ability to his mother, Lynn (Toni Collette). Although his mother is troubled by his story, Cole tells Lynn that her mother (Cole's grandmother) went to see her perform in a dance recital one night when she was a child, though Lynn was not aware of this because her mother stayed in the back of the audience where she could not be seen; he also tells her the answer to a question she asked when alone at her mother's grave. Lynn accepts this as the truth, and her relationship with Cole is strengthened.
His faith in himself now restored as a result of his success with Cole, Malcolm returns to his home, where he finds his wife sleeping on the couch, watching their old wedding video. As she sleeps, Anna's hand releases Malcolm's wedding ring, revealing the twist ending of the film — that Malcolm himself is unwittingly one of Cole's ghosts, having been killed by his ex-patient in the opening scene. Due to Cole's efforts, Malcolm's unfinished business, of rectifying his failure to understand Vincent, is completed. Recalling Cole's advice about talking to his wife while she's asleep, so that she'll have to listen, Malcolm releases her to move on with her life and frees himself to leave behind the world of the living.
All of the clothes Malcolm wears during the movie are items he wore or touched the evening he died, including his overcoat, his blue sweater and the different layers of his suit.
Bruce Willis, who is left-handed, learned to write with his right hand for the film to hide from the audience that Crowe was no longer wearing his wedding ring.[2] Though the filmmakers were careful about such clues of Malcolm's state, the camera zooms slowly towards Crowe's face when Cole says he sees dead people. In a DVD special feature, the filmmakers mention that they initially feared this shot would be a dead giveaway, but they decided to leave it in. The color red is intentionally absent from most of the film, but is used prominently (and only) in a few isolated shots scattered throughout the movie, in situations where the dead are present: such as the color of the balloon and Cole's sweater at the birthday party, the tent in which he first encounters Kyra, the numbers on Crowe's tape player, the doorknob to the locked closet and the grieving mother's dress. Shyamalan's film The Village similarly portrayed the color red as having connotations with evil and the supernatural — specifically, the mysterious monsters that inhabit the woods surrounding the village
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