At Waite's suggestion, Smith used the Sola Busca artwork for inspiration, and there are many similarities in the symbolism between Sola Busca and Smith's final result. Smith was the first artist to use characters as representative images in the lower cards. Instead of showing merely a cluster of cups, coins, wands or swords, Smith incorporated human figures into the artwork, and the result is the iconic deck that every reader knows today.
The British direct-voice medium Frederick Tansley Munnings was exposed as a fraud when one of his séance sitters turned the lights on which revealed him to be holding a trumpet by means of a telescopic extension piece and using an angle piece to change the auditory effect of his voice. Richard Hodgson held six sittings with the medium Rosina Thompson and came to the conclusion she was a fraud as he discovered Thompson had access to documents and information about her séance sitters.
In the later half of the 20th century, Western mediumship developed in two different ways. One type involved clairaudience or sensitives who hear spirit, and then relay what they hear to their clients. The other incarnation of non-physical mediumship is a form of channeling in which the channeler goes into a trance, or "leaves their body", allowing a spirit entity to borrow their body, who then speaks through them. When in a trance the medium appears to come under the control of the spirit of a departed soul, sometimes entering into a cataleptic state, although modern channelers may not. Some channelers open the eyes when channeling, and remain able to walk and behave normally. The rhythm and the intonation of the voice may also change completely.