Despite numerous instances of chicanery, the appeal of spiritualism was strong. Prominent in the ranks of its adherents were those grieving the death of a loved one. Many families during the time of the American Civil War had seen their men go off and never return, and images of the battlefield, produced through the new medium of photography, demonstrated that their loved ones had not only died in overwhelmingly huge numbers, but horribly as well. One well known case is that of Mary Todd Lincoln who, grieving the loss of her son, organized séances in the White House which were attended by her husband, President Abraham Lincoln. The surge of spiritualism during this time, and later during World War I, was a direct response to those massive battlefield casualties.
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The exposures of fraudulent activity led to a rapid decline in ectoplasm and materialization séances. Investigator Joe Nickell has written that modern self-proclaimed mediums like John Edward, Sylvia Browne, Rosemary Altea and James Van Praagh are avoiding the Victorian tradition of dark rooms, spirit handwriting and flying tambourines as these methods risk exposure. They instead use "mental mediumship" tactics like cold reading or gleaning information from sitters before hand (hot reading). Group readings also improve hits by making general statements with conviction, which will fit at least one person in the audience. Shows are carefully edited before airing to show only what appears to be hits and removing anything that does not reflect well on the medium.