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In 1917, Edward Clodd analyzed the mediumship of the trance medium Gladys Osborne Leonard and came to the conclusion that Leonard had known her séance sitters before she had held the séances, and could have easily obtained such information by natural means. The British psychiatrist Charles Arthur Mercier wrote in his book Spiritualism and Sir Oliver Lodge (1917) that Oliver Lodge had been duped into believing mediumship by trickery and his spiritualist views were based on assumptions and not scientific evidence.
In the typical deep trance, the medium may not have clear recall of all the messages conveyed while in an altered state; such people generally work with an assistant. That person selectively wrote down or otherwise recorded the medium's words. Rarely did the assistant record the responding words of the sitter and other attendants. An example of this kind of relationship can be found in the early 20th century collaboration between the trance medium Mrs. Cecil M. Cook of the William T. Stead Memorial Center in Chicago (a religious body incorporated under the statutes of the State of Illinois) and the journalist Lloyd Kenyon Jones. The latter was a non-medium Spiritualist who transcribed Cook's messages in shorthand. He edited them for publication in book and pamphlet form.
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.