Psychologists and researchers who studied Pearl Curran's automatic writings in the 1930s came to the conclusion Patience Worth was a fictitious creation of Curran. In 1931 George Valiantine was exposed as a fraud in the séance room as it was discovered that he produced fraudulent "spirit" fingerprints in wax. The "spirit" thumbprint that Valiantine claimed belonged to Arthur Conan Doyle was revealed to be the print of his big toe on his right foot. It was also revealed that Valiantine made some of the prints with his elbow.
In 1958, the English-born Spiritualist C. Dorreen Phillips wrote of her experiences with a medium at Camp Chesterfield, Indiana: "In Rev. James Laughton's séances there are many Indians. They are very noisy and appear to have great power. [...] The little guides, or doorkeepers, are usually Indian boys and girls [who act] as messengers who help to locate the spirit friends who wish to speak with you."
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The trance medium Leonora Piper was investigated by psychical researchers and psychologists in the late 19th and early 20th century. In an experiment to test if Piper's "spirit" controls were purely fictitious the psychologist G. Stanley Hall invented a niece called Bessie Beals and asked Piper's 'control' to get in touch with it. Bessie appeared, answered questions and accepted Hall as her uncle. The psychologist Joseph Jastrow wrote that Piper pretended to be controlled by spirits and fell into simple and logical traps from her comments. Science writer Martin Gardner concluded Piper was a cold reader that would "fish" for information from her séance sitters. The physiologist Ivor Lloyd Tuckett who examined Piper's mediumship in detail wrote it could be explained by "muscle-reading, fishing, guessing, hints obtained in the sitting, knowledge surreptitiously obtained, knowledge acquired in the interval between sittings and lastly, facts already within Mrs. Piper's knowledge."
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."