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According to the director's commentary, yes. This is commonly done with actors, especially child actors who have had many photos taken of them for publicity reasons their entire career.

I always thought it to be a dumb waiter as it seems too small and oddly located to be a closet; also it has a gate that you can close over it to prevent people from using the dumbwaiter without the "masters" knowledge.

After being shot by a former patient, child psychologist Malcolm Crowe (Bruce Willis) takes on the case of 9-year-old Cole Sear (Haley Joel Osment) who has many of the same problems as his ex-patient. In particular, Cole is scared, unliked by his classmates, and thinks of himself as a freak. As Cole and Malcolm get to know each other better, Cole finally tells his secret to Malcolm...

The Sixth Sense was written by Indian-American film director M. Night Shyamalan, although Shyamalan has admitted that "The Tale of the Dream Girl" episode (1994, season 3 episode 10) of Nickelodeon's science fiction/horror TV series Are You Afraid of the Dark? was an inspiration for the film.

It's possible that he wanted to show Malcolm the physical scars he received from his "experiences."

In the original script, Vincent mentions that he just broke out of a mental hospital, and would, therefore, have no clothing other than a hospital gown. This was upon seeing a television broadcast earlier in the day showing Malcolm winning his award.

Yes. Director M. Night Shyamalan has a small part as a doctor to whom Lynn takes Cole to see when he suffers what appears to be a seizure after being locked in a dark closet while at a party.