product of a trauma of external origin, nor are they due to the application of potently irritating chemicals". Throughout his life, Pio had hidden his wounds by wearing fingerless gloves. At death there were no wounds, only "unblemished skin". Mariam Thresia Chiramel The first saint from India with stigmata was nun Mariam Thresia Chiramel. She was canonised on 13 October 2019 by Pope Francis. Stigmata and gender In the late nineteenth century, a French physician named Dr. A Imbert-Goubeyre began compiling a census of known stigmatics from the thirteenth century to his own time. This census includes 280 female and 41 male stigmatics, meaning women comprise a little over 87% of the list. Additionally, the University of Antwerp released a database of information on 244 stigmatics in April 2019. 92% of the stigmatics in the database are female. In some cases, convent sisters have attempted to shield stigmatic women from public scrutiny, often out of fear of how their condition would affect the convent's reputation. So, the amount of women stigmatics may be even higher than historical record shows. Despite the high number of women stigmatics throughout history, the best-known and least contested stigmatics, such as Francis of Assisi and Padre Pio, have been men. Scientific research Many stigmatics have been exposed for using trickery. Magdalena de la Cruz for example confessed before she died that her stigmata was deliberate deception. Early neurologist Désiré-Magloire Bourneville published works which stated that saints claiming to produce miracles or stigmata, and those claiming to be possessed, were actually suffering from epilepsy or hysteria. Some modern research has indicated stigmata are of hysterical origin or linked to dissociative identity disorder. There is a link between dietary constriction by self-starvation, dissociative mental states and self-mutilation, in the context of a religious belief. Anorexia nervosa cases often display self-mutilation similar to stigmata as part of a ritualistic, obsessive–compulsive disorder. A relationship between starvation and self-mutilation has been reported amongst prisoners of war and during famines. The psychologist Leonard Zusne in his book Anomalistic Psychology: A Study of Magical Thinking (1989) has written: In his Stigmata: A Medieval Phenomenon in a Modern Age, Ted Harrison suggests that there is no single mechanism whereby the marks of stigmata were produced. Harrison found no evidence from a study of contemporary cases that the marks were supernatural in origin. He concluded, however, that marks of natural origin need not be