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.
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Humans have been fascinated with contacting the dead since the beginning of human existence. Cave paintings by indigenous Australians date back 28,000 years, some depicting skulls, bones, spirits and the afterlife. Other cave paintings in Indonesia date back a further 10,000 years. Mediumship gained popularity during the nineteenth century, when ouija boards were used by the upper classes as a source of entertainment. Investigations during this period revealed widespread fraud—with some practitioners employing techniques used by stage magicians—and the practice began to lose credibility. Fraud is still rife in the medium/psychic industry, with cases of deception and trickery being discovered to this day.