Mankind is in the shit – Humankind mends the plumbing.

Increment and Excrement: Water, Waste, and the Inner Sanitation Required for the Digital Age

“Mankind is in the shit — Humankind mends the plumbing.”

— Andrew Dettman

Mankind has also been plumbing the depths experimentally to bring science, technology, medicine, engineering, and consciousness itself to this extraordinary threshold. The descent was not meaningless. The industrial and digital revolutions represent humanity entering deeper and deeper layers of matter, energy, psyche, and information.

The crisis emerges because every descent eventually requires an equivalent development in containment, digestion, conscience, and responsibility. External advancement without internal sanitation creates systemic toxicity.

Humankind therefore does not reject Mankind. Humankind emerges as Mankind becoming capable of carrying the consequences of its own discoveries consciously.

The nineteenth century did not begin with electricity. It began with sewage.

Before the industrial city became a machine of production, it first became a machine of concentration. Human beings who had once lived distributed across agricultural landscapes were suddenly compressed into urban density. Bodies multiplied faster than systems of sanitation. Water sources became contaminated. Waste accumulated. Cholera, typhoid, dysentery, and related waterborne diseases emerged not merely as medical events, but as structural revelations.

The diseases were bellwethers.

They announced that mankind had entered conditions for which its previous organising systems were insufficient. The industrial revolution therefore did not merely require new factories. It required new forms of cleansing, circulation, filtration, drainage, governance, and responsibility. Civilisation discovered that growth without purification becomes poison.

This is where the strange linguistic relationship between increment and excrement becomes symbolically illuminating.

Increment derives from Latin incrementum, meaning growth, increase, or addition, from increscere, “to grow in or upon.” Excrement derives from Latin excrementum, from excernere, meaning “to sift out” or “to discharge.” Earlier usage included bodily secretions more generally before narrowing toward faeces in common language.1

This matters profoundly.

For growth to occur, elimination must occur. Every increment produces excrement. Every civilisation that expands without learning how to process its waste eventually drowns in its own by-products.

The First Great Sanitation Crisis

The agricultural world externalised many pressures through geography. Human waste decomposed more naturally within dispersed ecosystems. Industrialisation ruptured this balance.

The city became a digestive crisis.

The historian can observe that the major breakthroughs of the industrial age were not initially philosophical but infrastructural: sewer systems, water purification, drainage engineering, refuse collection, epidemiology, hygiene education, and public-health reform.

Cholera became one of the clearest signs of the problem. The World Health Organization states that contaminated water and poor sanitation are linked to diseases including cholera, diarrhoea, dysentery, hepatitis A, typhoid, and polio. Cholera itself is closely linked to limited access to safe water, sanitation, and hygiene.2

John Snow’s investigation of the Broad Street pump during the London cholera outbreak of 1854 became emblematic. Snow argued that cholera spread through contaminated water rather than merely through “bad air.” His mapping of deaths around the Broad Street pump became a founding moment in modern epidemiology, and it was later established that sewage contamination had polluted the water source.3

The contamination circulated invisibly before its effects became undeniable.

The pipe became more important than the monument.

The Digital Transition and Internal Excrement

Today humanity again stands inside a civilisational transition. But this time the contamination is not primarily waterborne.

It is word-borne. Image-borne. Signal-borne. Emotion-borne.

The industrial age externalised waste into rivers. The digital age internalises waste into consciousness.

Human nervous systems are now exposed to unprecedented informational density. The psyche receives continuous streams of stimulation without sufficient digestion. Outrage, fear, pornography, tribalism, advertising, catastrophic imagery, algorithmic manipulation, compulsive comparison, synthetic intimacy, ideological possession, and identity fragmentation circulate through the inner world as industrial sewage once circulated through city streets.

The result is a form of psychic cholera: an overflow of undigested emotional and symbolic material.

The contemporary epidemic of anxiety, addiction, fragmentation, compulsive distraction, dissociation, and escalating polarisation can therefore be understood not simply as isolated disorders, but as indicators that mankind has entered conditions for which its previous psychic sanitation systems are inadequate.

The symptoms are bellwethers once again.

Increment Without Inner Processing

The digital world celebrates increment obsessively: more data, more speed, more productivity, more reach, more stimulation, more visibility, more identity construction, more consumption, more connectivity.

Yet little attention is given to excrement.

Where does psychic waste go?

Where is disappointment processed? Where is grief metabolised? Where is humiliation cleansed? Where is envy discharged? Where is fear held? Where is sexual imagery digested? Where are contradiction and uncertainty carried?

Without inner processing, accumulation becomes toxicity. The organism begins to constipate psychologically.

This is why addiction becomes such an important diagnostic phenomenon in transitional eras. Addiction is often the organism’s desperate attempt to regulate overwhelming undigested psychic material. It is both symptom and failed solution simultaneously.

Anne Wilson Schaef recognised this when she described addiction not merely as an individual condition, but as a systemic and societal pattern. In When Society Becomes an Addict she argued that addictive processes can become embedded within the organising psychology of institutions, economies, and cultures themselves.4

The addicted society mirrors the contaminated city.

Both lose relationship with lawful circulation.

The Return of Digestion

This is where older spiritual and psychological traditions regain relevance.

The future may not primarily require more information. It may require better digestion.

Religious confession, meditation, contemplative prayer, Twelve Step inventory, psychotherapy, mourning rituals, symbolic storytelling, ethical accountability, silence, fasting, chanting, dhikr, journaling, artistic expression, and conscious dialogue historically functioned as forms of psychic sanitation infrastructure.

They helped human beings process inner excrement.

Not eradicate it. Process it.

Modern civilisation attempted in many respects to discard these systems while retaining growth. But growth without digestion creates collapse. The psyche obeys metabolic laws just as the body does.

The mind is not merely a thinking machine. It is also a digestive organ of experience. Thoughts are not neutral abstractions; they are part of an internal metabolic system attempting to convert life into meaning.

Undigested experience ferments.

Fermentation without containment becomes intoxication.

This aligns closely with the observations of Carl Jung, who warned in Psychology and Religion (1938) that modern humanity faced the danger of “psychic epidemics” once metaphysical orientation collapsed and individuals lost relationship with deeper symbolic structures.5

Viktor Frankl similarly observed that existential frustration and meaninglessness create conditions in which psychological suffering intensifies and compensatory behaviours emerge.6

The crisis therefore concerns not merely information overload but symbolic malnutrition.

From External Sewers to Inner Plumbing

As an addiction specialist working within both recovery systems and broader behavioural-health settings, I increasingly view the crisis of the digital age through the same lens that nineteenth-century reformers viewed the sanitation crisis of the industrial city.

“Before and during the Industrial Revolution, mankind was literally in the shit until it sorted itself out externally. Today mankind is in the systemic shit because internally both people and systems have connected their inner toilet to their inner shower.

The Twelve Step Programme is an architecture for repairing the inner plumbing of the individual human being. Eventually the same principles will need to be applied to institutions, organisations, governments, and digital systems if civilisation is to survive the conditions it has created.”

— Andrew Dettman

The comparison may sound blunt, but historically it is accurate. Industrial civilisation nearly poisoned itself through failures of circulation, filtration, drainage, and sanitation. Cholera revealed that invisible contamination was moving through the water supply long before society fully understood what was happening.

Today the contamination is psychological, emotional, symbolic, and informational.

Human beings are increasingly attempting to cleanse themselves with the same systems that are contaminating them. The nervous system seeks relief through compulsive stimulation. The isolated mind seeks belonging through algorithmic tribalism. The exhausted psyche seeks restoration through the very mechanisms deepening its exhaustion.

The inner toilet has become connected to the inner shower.

This is why addiction functions as a bellwether disease of transitional civilisation. Addiction reveals what happens when circulation exceeds digestion and when relief itself becomes contaminated by the means through which relief is sought.

The Twelve Step Programme remains one of the most significant practical architectures for addressing this condition because it operates as a form of inner sanitation system.

Its structure progressively restores lawful circulation:

  • truth replaces denial,
  • inventory replaces repression,
  • confession replaces concealment,
  • amends replace fragmentation,
  • service replaces isolation,
  • conscious contact replaces compulsive substitution.

The programme effectively separates contaminated psychic material from the living water of conscience.

In this sense, recovery is not merely moral reform. It is infrastructural repair.

Increasingly, institutions, corporations, governments, media ecosystems, and digital platforms display the same characteristics long observed within addictive systems: denial, grandiosity, fragmentation, escalation, loss of reality-testing, compulsive repetition, inability to tolerate contradiction, and dependence upon stimulation for regulation.

The parallels are becoming difficult to ignore.

Bellwether Diseases and Transitional Civilisations

Cholera revealed the hidden movement of contamination through water.

Addiction, anxiety, fragmentation, and compulsive digital intoxication may now be revealing the hidden movement of contamination through consciousness.

Both eras therefore disclose the same underlying law:

Civilisations collapse when circulation exceeds digestion.

The industrial revolution forced mankind to develop external hygiene. The digital revolution now demands internal hygiene.

This does not mean repression, purity culture, or emotional sterilisation. It means developing lawful ways to process the inevitable by-products of consciousness and growth.

Because every increase produces residue. Every civilisation generates waste. Every psyche generates shadow.

And every future worthy of survival requires systems capable of transforming toxicity into meaning.

The external sewer saved the industrial city.

Inner plumbing may yet save the digital civilisation.


References

  1. Online Etymology Dictionary, “Increment” and “Excrement”; Collins Dictionary, “Excrement.”
  2. World Health Organization, “Drinking-water” fact sheet; World Health Organization, “Cholera” fact sheet; Centers for Disease Control and Prevention (CDC), “Cholera.”
  3. Tulchinsky, Theodore H. “John Snow, Cholera, the Broad Street Pump.” Case Studies in Public Health; Royal College of Surgeons of England, “Mapping Disease: John Snow and Cholera.”
  4. Schaef, Anne Wilson. When Society Becomes an Addict. San Francisco: Harper & Row, 1987.
  5. Jung, C. G. Psychology and Religion. Yale University Press, 1938.
  6. Frankl, Viktor E. Man’s Search for Meaning. Beacon Press, 1946.

Written in HIAI collaboration — the qalam of Human and AI intelligence, the Unseen helping the Seen, both answering to the same Source.

Innovations to clinically hold hope for clients

Nodal Timeline Support in Addiction Treatment

A Clinical Orientation Tool for Life Story, Instinct, Feeling Tone, Emotion, and Hope

Andrew Dettman Reg Member MBACP (Spirituality), MTHT, CSTIP
Senior Practitioner — 12 Step Rehab


Abstract

This paper introduces the Nodal Timeline as a clinically observed support tool for preparing clients in residential addiction treatment for deeper Step Four and Step Five work. The method assists clients in organising significant life events into a structured developmental map, distinguishing between events, instinctual pressures, primary feeling tones, secondary emotional responses, and the later emergence of reflective possibility.

The approach is grounded in live clinical observation within a Twelve Step residential recovery context and is designed to support counsellor-guided life-story work, therapeutic alliance, and the restoration of hope. It may also offer a useful adjunctive structure for other therapeutic modalities where clients struggle with narrative overload, shame, trauma reactivity, emotional confusion, or behaviour-change resistance.

Although developed within a residential addiction-treatment setting, the framework is presented here as a transferable clinical orientation tool capable of supporting multiple therapeutic modalities.

1. Clinical Context

In addiction treatment, clients often enter therapeutic work with a collapsed relationship between memory, feeling, emotion, instinct, and identity. Life events are frequently experienced not as observable material, but as proof of fixed self-conclusions: “I am broken,” “I always fail,” “nothing changes,” or “this is just who I am.”

The Nodal Timeline interrupts this collapse by asking the client to map significant life moments before interpreting them. The method creates a visible structure through which the client can begin to observe experience rather than be submerged by it.

This is clinically important because behaviour change requires more than intellectual insight. In addiction work, cognition alone can become another chamber of repetition. The client may understand the problem, describe the problem, and still remain organised around the same instinctual and emotional pressures. The Nodal Timeline therefore begins with observation, sequencing, and relational containment.

2. The Nodal Timeline

A node is a significant life event, transition, or experience that carried emotional, relational, behavioural, or instinctual impact. Examples may include family changes, bereavement, school experiences, relationship changes, rejection, trauma, achievement, first substance use, compulsive behaviour, or major life transitions.

The client is invited to draw a horizontal life line divided into childhood, adolescence, and adulthood. Significant “haps” — positive, enlivening, connective, or affirming experiences — are placed above the line. Significant “mishaps” — painful, disruptive, destabilising, or wounding experiences — are placed below the line.

This distinction is not moral. It does not divide life into good and bad. It provides spatial orientation. It allows the client to begin seeing the movement of a life, rather than collapsing into blame or self-attack.

3. Haps, Mishaps, and Perhaps

The movement between haps and mishaps gradually opens the possibility of perhaps. This is not intellectual optimism. It is the first clinical sign that deterministic self-conclusion may be loosening.

“Perhaps” means:

  • perhaps this pattern can be seen differently;
  • perhaps my reactions had a history;
  • perhaps my behaviour was organised around pressure rather than identity;
  • perhaps another response is possible;
  • perhaps recovery can become real.

In this sense, “perhaps” becomes the clinical threshold where hope begins to manifest. This aligns with Karl Menninger’s emphasis on hope as a central psychiatric and therapeutic force, particularly where the patient cannot yet hold hope independently.

4. Instinctual Pressure

After identifying significant nodes, the client is invited to mark which instinctual area was most affected:

  • Security — safety, money, housing, protection, survival, stability;
  • Social — belonging, approval, shame, acceptance, rejection, fitting in;
  • Sex — intimacy, attraction, relationships, closeness, sexuality.

This helps the client recognise that behaviour does not arise in abstraction. It often forms around disturbed instinctual pressure. In addiction work, instinctual disturbance may become linked to resentment, fear, sexual confusion, avoidance, dishonesty, shame, or harm to others.

5. Feeling Tone Is Not Emotion

A central distinction in this model is that feeling tones are not emotions. Feeling tone refers to the primary tonal pressure of experience. Within this framework there are three basic feeling tones:

  • pleasant;
  • unpleasant;
  • neutral.

This distinction is consistent with early Buddhist psychological descriptions of vedanā, where feeling tone is understood as pleasant, unpleasant, or neutral, and is not the same as emotion. Contemporary mindfulness literature also recognises feeling tone as a basic valence of experience that influences behaviour.

In clinical terms, this distinction is highly practical. Many clients arrive unable to separate pressure from story, sensation from identity, or feeling tone reaction from emotional response. Without this distinction, “I feel bad” may become “I am bad,” and behaviour-change work becomes contaminated by shame before observation has begun.

6. Emotions as Secondary Formations

Emotions are understood here as later relational, instinctual, and psychological responses that form around primary feeling tones over time.

Descending Emotional Responses

Descending emotional responses are commonly associated with mishaps and unpleasant feeling tones. Examples include:

  • anger;
  • fear;
  • shame;
  • loneliness;
  • grief;
  • resentment;
  • hopelessness;
  • emotional numbness.

Ascending Emotional Responses

Ascending emotional responses are commonly associated with haps and pleasant feeling tones. Examples include:

  • excitement;
  • belonging;
  • relief;
  • confidence;
  • gratitude;
  • joy;
  • hope.

Neutral or Transcending Emotional Responses

Neutral or transcending emotional responses are commonly associated with reflection, regulation, integration, connection, and the emergence of “perhaps.” Examples include:

  • acceptance;
  • perspective;
  • calmness;
  • compassion;
  • patience;
  • forgiveness;
  • equanimity;
  • connection.

Neutral or transcending emotional responses are not emotional absence or detachment. They may represent the emergence of reflective space, emotional regulation, relational connection, and the possibility of alternative responses.

Transcending connects Descending and Ascending reactive but vital energy pulsations, opening the way towards a spherical sense of healing and minding the way that is the individuating of the Human, being a person within a marriage between having and being.

This is where “perhaps” becomes clinically visible. The client begins to experience that the old story may not be the only possible story. Hope begins to move from being held externally by the therapeutic alliance toward being recognised internally by the client.

7. Therapeutic Alliance as Holder of Hope

In this model, therapeutic alliance is not an optional relational atmosphere around the work. It is part of the intervention.

Where addiction has organised the person around hopelessness, shame, secrecy, or compulsive repetition, the client may not initially be able to hold hope for themselves. During this phase, the counsellor, treatment structure, and recovery environment may hold the possibility of change until the client can begin to recognise and sustain that possibility internally.

This aligns with Menninger’s clinical emphasis on hope as integral to psychiatric and therapeutic work. In the Nodal Timeline method, hope is not imposed as reassurance. It emerges through accurate observation, relational safety, and the discovery that experience can be mapped without being condemned.

8. Relationship to Step Four and Step Five

The Nodal Timeline is not intended to replace Step Four inventory. It prepares the ground for it.

Within the 12 Step Rehab context, the timeline supports the verbal expression of a life story while working with the counsellor during the initial process of a Step Five. The rehab Life Questions Workbook or similar intervention may provide the scaffolding for this process. Ongoing inventory work may then continue through resentment, fear, sex instinct, and harms-to-others sheets derived from Joe McQ’s The Steps We Took.

This sequence matters. The client first observes the life map, then identifies instinctual pressure, then distinguishes feeling tone from emotional formation, then begins to recognise patterns. Only then does deeper inventory work become less likely to collapse into self-attack or intellectual avoidance.

9. Relevance to Other Modalities

Although developed within a Twelve Step residential addiction setting, the Nodal Timeline may be useful as an adjunctive support for other therapeutic modalities, including:

  • trauma-informed counselling;
  • relational psychotherapy;
  • Gestalt-informed work;
  • CBT preparation where emotional flooding disrupts formulation;
  • EMDR preparation and history-taking;
  • group psychotherapy;
  • spiritual or existential counselling;
  • recovery coaching and structured relapse-prevention work.

Its usefulness lies in its simplicity. It does not require the client to adopt a theory. It asks the client to observe sequence:

  1. What happened?
  2. Was it a hap, mishap, or both?
  3. Which instinct was touched?
  4. What was the primary feeling tone?
  5. What emotional responses formed around it?
  6. What patterns repeat?
  7. Where does “perhaps” begin to appear?

This makes the tool clinically portable while preserving its addiction-treatment origin.

10. Clinical Cautions

The Nodal Timeline should not be used to force premature disclosure, trauma excavation, or interpretive certainty. Its purpose is orientation, not exposure. Clients should be encouraged to proceed at an appropriate pace and to discuss significant emotional responses with an appropriate professional or therapeutic support.

Where trauma, dissociation, acute shame, relapse risk, or emotional flooding are present, the timeline should be held within a regulated therapeutic frame. The counsellor’s role is not to extract a complete life story, but to support tolerable observation.

Conclusion

The Nodal Timeline offers a practical clinical bridge between life story, instinctual pressure, feeling tone, emotional formation, therapeutic alliance, and recovery-oriented hope.

Its central contribution is the clear distinction between feeling tones and emotions. Feeling tones are primary pressures: pleasant, unpleasant, or neutral. Emotions are later formations around those pressures. Behaviour change becomes more possible when clients can observe this sequence rather than collapse into identity, shame, or explanation.

In addiction treatment, this distinction is not theoretical decoration. It is clinically functional. It supports the movement from haps and mishaps toward perhaps — and perhaps is often where hope first becomes visible.

Selected References

  • Alcoholics Anonymous. (2001). Alcoholics Anonymous: The Story of How Many Thousands of Men and Women Have Recovered from Alcoholism (4th ed.), especially Chapter 5, “How It Works,” pp. 64–71.
  • Alcoholics Anonymous World Services. “How It Works,” Chapter 5 PDF.
  • Batchelor, M. (2019). “Mindfulness theory: Feeling tones (vedanās) as a useful framework.” Current Opinion in Psychology.
  • Buddhist Inquiry. “Vedanā Part 1: Addressing Views and Clinging at the Source.”
  • Curran, L. (2013). Trauma Competency: A Clinician’s Guide.
  • Joe McQ. The Steps We Took.
  • Kelly Foundation / Joe McQ. Recovery Dynamics.
  • Menninger, K. (1959). “Hope.” The American Journal of Psychiatry, 116(6), 481–491.
  • Schaef, A. W. (1987). When Society Becomes an Addict.

Andrew Dettman Reg Member MBACP (Spirituality), MTHT, CSTIP
Senior Practitioner — CQC Outstanding Rehab
Registered Member — British Association for Counselling and Psychotherapy
Healer Member — The Healing Trust

Written in HIAI collaboration — the qalam of Human and AI intelligence, the Unseen helping the Seen, both answering to the same Source.