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E-meters are used by Scientology practitioners known as "auditors". Scientology materials refer to the subject as the "preclear". The auditor gives the preclear a series of commands or questions while the preclear holds a pair of cylindrical electrodes ("cans") connected to the meter, and the auditor notes both the verbal response and the activity of the meter. Auditor training includes familiarization with a number of characteristic needle movements, each with a specific significance. Religion scholar Dorthe Refslund Christensen describes the e-meter as "a technical device that could help the auditor locate engrams and areas of change when auditing a preclear". Scientology concepts associated with the E-meter and its use are regarded by the scientific and medical communities as pseudoscience, as the E-meter has never been subjected to clinical trials as a therapeutic tool. Scientologists claim that in the hands of a trained operator, the meter can indicate whether a person has been relieved from the spiritual impediment of past experiences. In accordance with a 1974 federal court order, the Church of Scientology asserts that the E-meter is intended for use only in church-sanctioned auditing sessions; it is not a curative or medical device. The E-meters used by the Church were previously manufactured by Scientologists at their Gold Base facility, but were being manufactured in Hong Kong and Taiwan as of 1998. According to Hubbard, the E-meter is used by the operator for three vital functions:

To determine what process to run and what to run it on. To observe how well the process is running. To know when the process should be stopped. The Church claims that the E-meter can be used to assess the emotional charge of single words, whole sentences, and questions, as well as indicating the general state of the subject when the operator is not speaking. Few users of the E-meter claim that it does anything to the subject. To most, it does no more than suggest to the operator a change of mental, emotional, or autonomic nervous system activity. New religious movement scholar Douglas Cowan writes that Scientologists cannot progress along the Bridge to Total Freedom without an E-meter, and that Hubbard even told Scientologists to buy two E-meters, in the event that one of them fails to operate. According to anthropologist Roy Rappaport, the E-meter is a ritual object, an object that "stand[s] indexically for something intangible".

=== Other uses === Similar devices have been used as research tools in many human studies and as one of several components of the Leonarde Keeler's polygraph (lie detector) system, which has been widely criticized as ineffective and pseudoscientific by legal experts and psychologists. EDA meters are used in both therapist-patient and bio-feedback settings. EDA is one of the factors recorded by polygraphs, and EDA meters are often used in human studies to gauge psychological responses.

== Description ==

Most prominent on the face of the e-meter is a display with a needle pointer. There are several dials and knobs, and modern e-meters have several LCD displays. All models have knobs for turning the device on, testing it, setting the sensitivity, and boosting the device. The primary control for the auditor is the tone arm (a rotating lever) which is held throughout auditing and operated by one hand while the auditor writes with their other hand. As the needle on the display moves off the right or left of the dial, the tone arm is used to bring the needle back on the dial. During an auditing session, the auditor writes down questions he has asked the preclear, the preclear's answers, and activity of the e-meter such as needle movements and tone arm settings

There are ten main "needle actions" that an auditor is trained to spot, including a "fall," a smooth needle motion to the right; a "rise," a similar motion to the left; and a "free needle," or more commonly called a "floating needle," which is "a rhythmic sweep of the dial at a slow, even pace... back and forth."