Of the perceptual distortions characteristic of Alice in Wonderland syndrome, substantial alterations in the immediate experience of time are probably the least known and the most fascinating. We reviewed original case reports to examine the phenomenology and associated pathology of these time distortions in this syndrome. A systematic search in PubMed, Ovid Medline, and the historical literature yielded 59 publications that described 168 people experiencing time distortions, including 84 detailed individual case reports. We distinguished five different types of time distortion. The most common category comprises slow-motion and quick-motion phenomena. In 39% of all cases, time distortions were unimodal in nature, while in 61% there was additional involvement of the visual (49%), kinaesthetic (18%), and auditory modalities (14%). In all, 40% of all time distortions described were bimodal in nature and 19% trimodal, with 1% involving four modalities. Underlying neurological mechanisms are varied and may be triggered by intoxications, infectious diseases, metabolic disorders, CNS lesions, paroxysmal neurological disorders, and psychiatric disorders. Bizarre sensations of time alteration—such as time going backwards or moving in circles—were mostly associated with psychosis. Pathophysiologically, mainly occipital areas appear to be involved, although the temporal network is widely disseminated, with separate component timing mechanisms not always functioning synchronously, thus occasionally creating temporal mismatches within and across sensory modalities (desynchronization). Based on our findings, we propose a classification of time distortions and formulate implications for research and clinical practice.

Conflict detection in sensory input is central to adaptive human behavior. Perhaps unsurprisingly, past research has shown that conflict may even be detected in absence of conflict awareness, suggesting that conflict detection is an automatic process that does not require attention. To test the possibility of conflict processing in the absence of attention, we manipulated task relevance and response overlap of potentially conflicting stimulus features across six behavioral tasks. Multivariate analyses on human electroencephalographic data revealed neural signatures of conflict only when at least one feature of a conflicting stimulus was attended, regardless of whether that feature was part of the conflict, or overlaps with the response. In contrast, neural signatures of basic sensory processes were present even when a stimulus was completely unattended. These data reveal an attentional bottleneck at the level of objects, suggesting that object-based attention is a prerequisite for cognitive control operations involved in conflict detection.

Conflict detection in sensory input is central to adaptive human behavior. Perhaps unsurprisingly, past research has shown that conflict may be detected even in the absence of conflict awareness, suggesting that conflict detection is a fully automatic process that does not require attention. Across six behavioral tasks, we manipulated task relevance and response overlap of potentially conflicting stimulus features to test the possibility of conflict processing in the absence of attention. Multivariate analyses on human electroencephalographic data revealed that neural signatures of conflict are only present when at least one feature of a conflicting stimulus is attended, regardless of whether that feature is part of the conflict. In contrast, neural signatures of basic sensory processes are present even when a stimulus is completely unattended. These data reveal an attentional bottleneck at the level of objects, suggesting that object-based attention is a prerequisite for cognitive control operations involved in conflict detection.

No abstract

147/max 150 words)Cognitive control over conflicting sensory input is central to adaptive human behavior. It might therefore not come as a surprise that past research has shown conflict detection in the absence of conscious awareness. This would suggest that the brain may detect conflict fully automatically, and that it can even occur without paying attention. Contrary to this intuition, we show that task-relevance is crucial for conflict detection. Univariate and multivariate analyses on electroencephalographic data from human participants revealed that when auditory stimuli are fully task-irrelevant, the brain disregards conflicting input entirely, whereas the same input elicits strong neural conflict signals when task-relevant. In sharp contrast, stimulus features were still processed, irrespective of task-relevance. These results show that stimulus properties are only integrated to allow conflict to be detected by prefrontal regions when sensory information is task-relevant and therefore suggests an attentional bottleneck at high levels of information analysis.