Appetite 157 (2021) 105003
Available online 20 October 2020
0195-6663/© 2020 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Young adults’ transition to a plant-based diet as a psychosomatic process: A
psychoanalytically informed perspective
Elisabeth von Essen
Department of Work Science, Business Economics and Environmental Psychology, Swedish University of Agricultural Sciences, 230 53, Alnarp, Sweden
A R T I C L E INFO
Keywords:
Conficting emotions
Health anxiety
Integration
Life and death
Meat and dairy products
Mental state
ABSTRACT
This study examined transition to a plant-based diet by young adults and the challenges and conficts this brings.
Interviews were conducted with nine young adults in Sweden and the answers were analysed guided by a
psychological method from descriptive phenomenology. The results indicate that the transition to a plant-based
diet is a process comprising fve dimensions: 1) Exploring new ways of living based on health anxieties, 2) regulating
conficting emotions through differentiation, 3) transforming traditional models into new alternatives, 4) confrming new
skills and abilities and 5) integrating experiences and emotions into a whole. These fve dimensions refect how
transition to a plant-based diet is experienced physically and emotionally. The results also indicate that plant-
based meals and ingredients used in the new diet are loaded with symbols and conficting emotions. Psycho-
analytically informed theory, especially object relation theory, was used in discussing what can happen to the
mind during the transition. In a wider perspective, this study provides insights into how a dietary transition can
bring stability to the life of young adults and help them endure and master their situation. More research is
needed to assess the role of mental health in transitioning to a plant-based diet and to draw more general
conclusions, an area where psychodynamic theory can provide insights.
1. Introduction
There has been much discussion on how meals can be used to
strengthen an individual’s resilience, increase wellbeing and contribute
to healthy psychological development (Masten & O’Dougherty Wright,
2010; NNR, 2012; O’Neil et al., 2014; von Essen, 2015). Cooking has
become a symbol of long-term survival, social interaction and activity
(Fischler, 1988; Kaufmann, 2010). Special diets, e.g. based on
Mediterranean-like ingredients, are believed to contribute to a healthier
lifestyle and to positive results in treatment of e.g. Alzheimer’s disease
and depressive conditions (Jacka et al., 2017; Lopresti & Jacka, 2015;
Opie et al., 2015). Emotional food memories from childhood are used as
a safe base to create stability during development into adulthood (von
Essen & Mårtensson, 2017). Alternative dietary choices can form part of
new strategies in everyday life to provide ‘a second chance’, turning life
in a new direction and breaking with negative infuences (R¨ onk¨ a, Ora-
vala, & Pulkkinen, 2003; Tugade & Fredrickson, 2004; von Essen, 2015).
Eating special dishes can be used to regulate emotional states and in-
ternal conficts (Canetti, Bachar, & Berry, 2002; Evers, Marijn Stok, & de
Ridder, 2010; Fischer, 1989) and to make moral statements (Coveney,
2016).
In recent years, a plant-based diet has become an increasingly
important choice for young people (Larson, Perry, Story, &
Neumark-Sztainer, 2006; Larsson, R¨ onnlund, Johansson, & Dahlgren,
2003), as an alternative to traditional Swedish food which involves
transforming ingredients according to certain rules and standards
(Cargill, 2007; M¨ akel¨ a, 2000). In the traditional model, one of the most
important ingredients to achieve satiation is meat, sometimes prepared
together with vegetables (Ekstr¨ om, 1990). Meat is seen as an symbol of
power and masculinity (Ljung, Riley, & Ericsson, 2015; J.; Ogden, 2010;
Ruby & Heine, 2011) but also as a way of showing care and love
(Sidenvall, Nydahl, & Fjellstr¨ om, 2000).
However, recent studies have shown that meat can generate negative
emotions (Rosenfeld, 2018b; Rosenfeld & Tomiyama, 2019), have
deleterious effects on physical health (Fields, Millstine, Agrwal, &
Marks, 2016) and contribute to premature death (Rozin, Markwith, &
Stoess, 1997). Red meat has thus become a food that young people
increasingly see as posing risks to their own safety and survival (For-
estell, Spaeth, & Kane, 2012; von Essen & Englander, 2013). It is now a
food that is often avoided (Mullee et al., 2017), primarily for moral
reasons or because of emotional identifcation with the suffering of other
beings.
E-mail address: elisabeth.von.essen@slu.se.
Contents lists available at ScienceDirect
Appetite
journal homepage: www.elsevier.com/locate/appet
https://doi.org/10.1016/j.appet.2020.105003
Received 2 April 2020; Received in revised form 30 September 2020; Accepted 8 October 2020