What actually transpires during the trance is that the clairvoyant medium sees visions, hears voices, feels the energy and interprets his experiences in intelligible human language. The narration of the sequence of events is convincing as it divulges the secrets and facts, which are known only to the seeker. This revelation of personal facts builds trusts between the seeker and the clairvoyant medium.

Direct voice communication is the claim that spirits speak independently of the medium, who facilitates the phenomenon rather than produces it. The role of the medium is to make the connection between the physical and spirit worlds. Trumpets are often utilised to amplify the signal, and directed voice mediums are sometimes known as "trumpet mediums". This form of mediumship also permits the medium to participate in the discourse during séances, since the medium's voice is not required by the spirit to communicate. Leslie Flint was one of the best known exponents of this form of mediumship.[28]
In 1908 at a hotel in Naples, the psychical researchers W. W. Baggally, Hereward Carrington and Everard Feilding attended a series of séances with Eusapia Palladino. In a report they claimed that genuine supernatural activity had occurred in the séances, this report became known as the Feilding report.[112] In 1910, Feilding returned to Naples, but this time accompanied with the magician William S. Marriott. Unlike the 1908 sittings, Feilding and Marriott detected her cheating, just as she had done in America. Her deceptions were obvious. Palladino evaded control and was caught moving objects with her foot, shaking the curtain with her hands, moving the cabinet table with her elbow and touching the séance sitters. Milbourne Christopher wrote regarding the exposure "when one knows how a feat can be done and what to look for, only the most skillful performer can maintain the illusion in the face of such informed scrutiny."[113]
The fraudulent medium Ronald Edwin confessed he had duped his séance sitters and revealed the fraudulent methods he had used in his book Clock Without Hands (1955).[167] The psychical researcher Tony Cornell investigated the mediumship of Alec Harris in 1955. During the séance "spirit" materializations emerged from a cabinet and walked around the room. Cornell wrote that a stomach rumble, nicotine smelling breath and a pulse gave it away that all the spirit figures were in fact Harris and that he had dressed up as each one behind the cabinet.[168]

In 1970 two psychical researchers investigated the direct-voice medium Leslie Flint and found that all the "spirit" voices in his séance sounded exactly like himself and attributed his mediumship to "second-rate ventriloquism".[173] The medium Arthur Ford died leaving specific instructions that all of his files should be burned. In 1971 after his death, psychical researchers discovered his files but instead of burning them they were examined and discovered to be filled with obituaries, newspaper articles and other information, which enabled Ford to research his séance sitters backgrounds.[174] https://drive.google.com/file/d/1zitTBgGddn7i6vwXjcjY-cBbhDhhupsW/view?usp=sharing

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In 1970 two psychical researchers investigated the direct-voice medium Leslie Flint and found that all the "spirit" voices in his séance sounded exactly like himself and attributed his mediumship to "second-rate ventriloquism".[173] The medium Arthur Ford died leaving specific instructions that all of his files should be burned. In 1971 after his death, psychical researchers discovered his files but instead of burning them they were examined and discovered to be filled with obituaries, newspaper articles and other information, which enabled Ford to research his séance sitters backgrounds.[174]

On Fox News on the Geraldo at Large show, October 6, 2007, Geraldo Rivera and other investigators accused Schwartz as a fraud as he had overstepped his position as a university researcher by requesting over three million dollars from a bereaved father who had lost his son. Schwartz claimed to have contacted the spirit of a 25-year-old man in the bathroom of his parents house and it is alleged he attempted to charge the family 3.5 million dollars for his mediumship services. Schwartz responded saying that the allegations were set up to destroy his science credibility.[197][198]
A clairvoyant medium is a psychic who goes into trance, a sleep like state in which he allows his body and senses to be possessed by the spirit which may be his own guiding spirit or that of the seeker. The spirit has an overview of all the happenings on the earth. A clairvoyant medium can speak while lying down. He can also sit down or even walk and make gestures by moving his hands. He can even write or type his messages.

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The magician Samri Baldwin exposed the tricks of the Davenport brothers in his book The Secrets of Mahatma Land Explained (1895).[93] The medium Swami Laura Horos was convicted of fraud several times and was tried for rape and fraud in London in 1901. She was described by the magician Harry Houdini as "one of the most extraordinary fake mediums and mystery swindlers the world has ever known".[94]

Senses used by mental mediums are sometimes defined differently from in other paranormal fields. A medium is said to have psychic abilities but not all psychics function as mediums. The term clairvoyance, for instance, may include seeing spirit and visions instilled by the spirit world. The Parapsychological Association defines "clairvoyance" as information derived directly from an external physical source.[37]