Many 19th century mediums were discovered to be engaged in fraud. While advocates of mediumship claim that their experiences are genuine, the Encyclopædia Britannica article on spiritualism notes in reference to a case in the 19th century that "...one by one, the Spiritualist mediums were discovered to be engaged in fraud, sometimes employing the techniques of stage magicians in their attempts to convince people of their clairvoyant powers." The article also notes that "the exposure of widespread fraud within the spiritualist movement severely damaged its reputation and pushed it to the fringes of society in the United States."
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.