Perception, Neurology, and Fiction
“Curiouser and curiouser!” cried Alice, (she was so surprised that she quite forgot how to speak good English,) “now I’m opening out like the largest telescope that ever was! Goodbye, feet!” (for when she looked down at her feet, they seemed almost out of sight, they were getting so far off,) “oh, my poor little feet, I wonder who will put on your shoes and stockings for you now, dears? I’m sure I can’t! I shall be a great deal too far off to bother myself about you: you must manage the best way you can—but I must be kind to them,” thought Alice, “or perhaps they won’t walk the way I want to go! Let me see: I’ll give them a new pair of boots every Christmas.”
~ Alice’s Adventures in Wonderland by Lewis Carroll
Over the past century and a half or so since the original publication of Alice’s Adventures in Wonderland, a number of scientists, doctors, and literature lovers have speculated as to what the real-world sources of the fantastic elements of Lewis Carroll’s story were. One interesting suggestion is that Carroll suffered from the altered perception of body size that is sometimes associated with migraines, and this was the inspiration for Alice’s potion-induced shrinking and growing when she first tumbles down the rabbit hole.
While it turns out that the speculation about Carroll is probably incorrect (pdf), the complexity of the human brain leaves it vulnerable to neurological disorders and illusions that alter the perception of the world such that it doesn’t accurately reflect reality. While that can be distressing and debilitating to the person who is afflicted, such alterations can be an excellent inspiration for speculative fiction. What sets SF apart from non-genre fiction is that it often depicts what we would normally consider a delusion as an accurate reflection of reality.
For example, people who suffer from Capgras syndrome believe that one or more of their loved ones has been replaced by an identical looking duplicate. In the related Fregoli syndrome, the delusion is that different people are a single individual changing shape. In the speculative fiction versions of those syndromes, friends and family actually have been replaced by one or more imposters. Examples include John W. Campbell’s shape-shifting alien in the novella “Who Goes There?” (1938), the alien pods in Jack Finney’s novel The Body Snatchers (1955), and the robotic housewife replacements in Ira Levin’s The Stepford Wives (1975).
A bit less creepy is inattentional blindness, a phenomenon in which the brain doesn’t perceive people or things that are in plain sight. The principal was used by Douglas Adams for the Somebody Else’s Problem Field in the Hitchhiker’s Guide universe, which was used to disguise large spaceships and unexpected appearances of aliens from people who just don’t want to perceive reality. In a more serious vein, it also plays a major role in Peter Watts’ hard science fiction novel Blindsight - as do several other disorders in the neurology of perception (read Watts’ notes for details).
And then there are zombies – not so much the brain-eating living dead variety, but the kind with living bodies and brains lacking self-awareness. For example, Daryl Gregory has speculated on what a person with a functional brain but no consciousness would be like in his short story “Second Person, Present Tense.”
Not too surprisingly, most of the stories I’ve mentioned have a strong horror element. While it’s frightening to think that our brains might malfunction in such a way that we perceive imposters all around us or monsters we can’t see, I think it’s even worse to consider that such apparent delusions might actually be true. Despite that (or perhaps because of that), it can make for riveting storytelling, and there are many quirks and defects of human perception that have yet to be tapped in fiction.
Related articles:
- V. S. Ramachandran’s illustrated illusions and articles from his research at the UCSD Brain and Perceptual Process Laboratory
- Della Sala S. “The Anarchic Hand: Sergio Della Sala on the bizarre ‘Dr Strangelove syndrome’ and what it tells us about free will” The Psychologist 18(10):606-609 (2005)
- “The Neurology of Alice” by Andrew Larner (Larner AJ. ACNR 4(6):35-36 (2005)). [Link via Mind Hacks]
- Todd J. “The Syndrome of Alice in Wonderland” Can Med Assoc J. 73(9):701-704 (1955)
- Rolak LA. “Literary neurologic syndromes. Alice in Wonderland.” Arch Neurol. 48(6):649-61 (1991) [subscription required]
- Larner AJ “Lewis Carroll’s Humpty Dumpty: an early report of prosopagnosia?” J Neurol Neurosurg Psychiatry 2004:75; doi:10.1136/jnnp.2003.027599 [subscription required]
Illustration: Lewis Carroll’s drawing of Alice after “opening out like a telescope”, from the manuscript of Alice’s Adventures Under Ground .




Fascinating. I find much of this sort of thing to be terribly creepy – science in my horror! Brains are strange and mysterious, and so many things can work in ways unlike the “norm”.
Terrific article, Peggy!
We also have phantom limb pain, fibromyalgia, people who think one of their limbs doesn’t belong to them, the ghostly splits that arise from weakening or severing of the corpus callosum, to say nothing of dementia, etc. Our brain is a remarkable construct, and can go wrong in fascinating (and horrifying) ways — horrifying because it creates and maintains our identity.
Incidentally, Ramachandran’s mirror is an amazing cure of elegant simplicity. If only psychiatrists used it more, and used medication and electroshocks less!
Ramachandran’s mirror is very cool.
Also regarding odd perception of limbs, I read a story long ago that played on the idea of “alien hands” (aka Dr. Strangelove Syndrome), and I wish I could remember what it was called. “Jennifer’s Hands”, maybe?
It was about the wife of an astronomer, who had a set of model hands that did things without her conscious control. Very creepy.
I strongly recommend the book ‘The Man Who Mistook His Wife For A Hat’ by Oliver Sachs. A fascinating series of case studies showing what can go wrong with perception when the brain is damaged by injury or illness. It is easy to read and very interesting. I hav ebought an dgiven away 3 copies over the years
I quite enjoyed Sachs’ more recent book, Musicophilia, which focuses specifically on perception of music.
Both Sachs books are terrific.
This is a fascinating post. I don’t think it’s even necessary to make the altered perceptions real in order to use them in stories – even as they are, they can make for some interesting characters and interactions.