Last week I visited the new health food shop in the shopping centre near my flat. I was in search of coconut flakes to add to granola – why yes, I do make my own granola (what else did you expect?) – but, instead, bought nearly my own body weight in almond meal, and came away, amazed by the incredible range of foodstuffs and supplements on sale. I was struck by how little the diet advocated by the makers of these food products tallied with my own idea of healthy eating. While I try to eat a little of everything, and always in moderation, both the health shop and its products seem to view most forms of food with profound suspicion.
In a recent edition of Radio 4’s Food Programme, Sheila Dillon charts the rise of the ‘free from’ food industry. As she makes the point, for all that these lactose-, gluten-, sugar-, and wheat-free snacks, bars, and drinks advertise themselves as the ‘healthy’ alternative, they are as heavily processed as ready meals in supermarkets. I think that one way of accounting for this odd paradox – that people who wouldn’t normally go anywhere near a box of supermarket lasagne are willing to buy heavily processed kale chips or carob bars – is to consider how ideas around what we define as ‘healthy’ food have changed.
When I was preparing lectures on food and the 1960s counterculture my father recommended a story in Tom’s Wolfe’s New Journalism (1975). Written unbelievably beautifully by Robert Christgau, now best known as a music journalist, the essay charts the slow decline of a young woman in the thrall of a fad diet. Titled ‘Beth Ann and Macrobioticism’ the piece begins in Greenwich Village in 1965. Twenty-three year-old married couple Beth Ann and Charlie, were living as artists, and off money from Charlie’s father, in hippy New York. Discontented with the range of mind-expanding experiences offered to them by the collection of drugs and therapies they’d been taking, Charlie learned about the Zen macrobiotic diet from a friend.
Published in the United States in the mid-1960s, Zen Macrobiotics: The Art of Rejuvenation and Longevity by Georges Ohsawa, a Japanese philosopher and sometime medical doctor,
contends that all of the physical and spiritual diseases of modern man result from his consuming too much yin (basically, potassium…) or too much yang (sodium) – usually too much yin. … Most fruits (too yin) and all red meat (too yang) are shunned, as are chemicals (additives and drugs, almost all yin, as well as ‘unnatural’) and Western medicine. According to Ohsawa, the diet is not merely a sure means to perfect physical health. …it is also a path to spiritual health and enlightenment.
As Christgau makes the point, Ohsawa’s macrobiotic diet is ‘dangerously unsound’. It’s comprised of ten progressively restrictive stages, with the final including only water and brown rice. The American Medical Association denounced the diet on the grounds that those who followed Ohsawa’s directions religiously were at risk of scurvy, anaemia, malnutrition, and kidney failure.
Beth Ann and Charlie devoted themselves to macrobiotics with enthusiasm, quickly deciding on Diet no. 7, which consisted mainly of grain and tea. Unsurprisingly, they both lost weight quickly, and experienced a kind of hunger-induced euphoria:
They slept less than six hours a night. They…felt high on the diet, with spontaneous flashes that seemed purer and more enlightening than anything they had felt on drugs. … One joyous day, they threw out every useless palliative in the medicine cabinet and then transformed their empty refrigerator…into a piece of pop culture, with sea shells in the egg compartments and art supplies and various pieces of whimsy lining the shelves.
Shortly after this, both began to sicken. Beth Ann, in particular, displayed all the symptoms for scurvy. Despite a fellow macrobiotic enthusiast’s recommendation that she add raw vegetables to her diet, Beth Ann began to fast, for stretches of two weeks at a time. She wrote to Ohsawa, who told her to remain on the diet. Soon, she was bedridden, and moved in with her parents-in-law, who urged her to see a doctor. On the morning of her death – with a fever, and very weak – another letter arrived from Ohsawa, informing her that she had misunderstood the diet completely. But it was too late: she died a few hours later.
Beth Ann was not the only person taken in by Zen macrobiotics during the 1960s and 1970s. There were several cases of people who either died from, or were hospitalised for, malnutrition and salt poisoning as a result of a too-rigid adherence to the diet.
I don’t suggest for a moment that Cape Town’s health food hippies are in danger of starving themselves to death in an attempt to follow the teachings of a twentieth-century Japanese loon, but there are remarkable continuities between the 1960s enthusiasm for Zen macrobiotics and contemporary anxieties about food and nutrition.
On the extreme end of this scale of suspicion of food, are proponents of restricted-calorie diets who argue – with very little evidence – that those who eat less, will live significantly longer. Earlier this year, a Swiss woman starved herself to death after attempting to live only on sunshine. (Perhaps she thought she would photosynthesise?)
But on the other, more reasonable side, are the legions of women’s magazines which advise their readers what not to eat, rather than what they should be eating. These, and other publications, have variously branded sugar, saturated fat, and carbohydrates as the enemies of healthy diets, and, like Zen macrobiotics, advocate increasingly restricted diets. This advice is subject to change, though. For instance, a group of experts at the American Dietetic Association’s most recent Food and Nutrition Conference noted that there is no evidence to suggest that low-fat diets have any health benefits.
Where does this idea – that food is the source of ill-health, rather than the fuel which helps to keep sickness at bay – originate? There is a millennia-old tradition in Western and other cultures of associating deprivation with moral or spiritual superiority and purity.

But, more specifically, I think that this suspicion of food can be located during the eighteenth century. Indeed, contemporary mainstream macrobiotic diets are based on the writing of an Enlightenment German physician Christoph Wilhelm Hufeland (1762-1836), who is credited with coining the term ‘macrobiotics’. In The Art of Prolonging Human Life (1797), Hufeland argued that each person possesses a ‘life force’ which needs to be nurtured and protected through rest, exercise, and a carefully-calibrated diet.
Hufeland’s writing was part of a wider, Enlightenment questioning of what constituted a morally and physically healthy person. In his influential text The English Malady (1733), the Scottish physician George Cheyne (1671-1743) argued that corpulence and over-eating undermined both the health of the body as well as the mind. Roy Porter explains:
Cheyne’s books were extremely popular and many later medical thinkers echoed his calls to temperance, with added intensity. Moderation would overcome that classic Georgian disorder, the gout, proclaimed Dr William Cadogan. If the turn towards regulating the flesh was decidedly health-oriented, however, it also became part and parcel of a wider movement, expressive of preferred cultural ideals and personal identities.
The emergence of an ethical vegetarianism – vegetarianism by choice, rather than necessity – during this period was one of the best examples of this attempt to regulate excessive behaviour through moderate eating:
Joseph Ritson, for example, held that because dead meat itself was corrupt, it would stir violent passions, whereas greens, milk, seeds and water would temper the appetite and produce a better disciplined individual.
I think that there’s a continuum between this association of a restricted diet with being a better person, and contemporary notions of healthy eating. The Zen macrobiotic craze in the 1960s was an extreme example of this desire only to eat that which is ‘pure’ in order to be good – as is the relatively recent phenomenon of orthorexia:
Orthorexics commonly have rigid rules around eating. Refusing to touch sugar, salt, caffeine, alcohol, wheat, gluten, yeast, soya, corn and dairy foods is just the start of their diet restrictions. Any foods that have come into contact with pesticides, herbicides or contain artificial additives are also out.
To be clear, orthorexia does not refer to those people who are genuinely allergic to some kinds of food. Rather, it describes an obsession with eating healthily. Although this obsessiveness can be socially limiting, it’s also admired to some extent. Sticking rigidly to a needlessly restrictive, ‘free-from’ diet is seen, frequently, as a sign of self-control, and an even greater willingness to take full responsibility for maintaining one’s own health.
The emergence of orthorexia and even the growing popularity of free-from foods, are indicative of a wider belief that we should care more about what we don’t eat, rather than what we do – and that there’s a connection between eating ‘healthily’ (whatever we may mean by that), and being a good and virtuous person. In a time when it is ever-easier to eat cheap junk food, and when rates of obesity are soaring all over the world, surely, it makes better sense to emphasise the pleasures of good food – and not to suggest that the unhealthy or overweight are morally suspect?
Further Reading
Robert Christgau, ‘Beth Ann and Macrobioticism,’ in The New Journalism, ed. Tom Wolfe and EW Johnson (London: Picador, 1975), pp. 363-372.
Karlyn Crowley, ‘Gender on a Plate: The Calibration of Identity in American Macrobiotics,’ Gastronomica: The Journal of Food and Culture, vol. 2, no. 3 (Summer 2002), pp. 37- 48.
Roy Porter, Flesh in the Age of Reason: How the Enlightenment Transformed the Way We See Our Bodies and Souls (London: Penguin, 2003).
Victoria Rezash, ‘Can a Macrobiotic Diet Cure Cancer?’ Clinical Journal of Oncology Nursing, vol. 12, no. 5 (Oct. 2008), pp. 807-808.

Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.
Feb 4
Troubled Waters
In April last year I went to a public meeting convened by the NGO Equal Education in Cape Town’s best bookshop, the Book Lounge. I have been to dozens of launches and readings and comic book swaps at the Book Lounge, but none of them was as packed as this. There were people squeezed on the floor in between chairs; the crowd was four-people deep in standing room-only areas; people on the pavement outside listened in through the open doors. I climbed up part of a bookshelf to see what was going on. It was so hot and damp with more than a hundred bodies crammed tightly together, that it felt that the shop had developed its own tropical ecosystem.
It says a great deal about the state of South Africa’s education system that a panel discussion about schools in the Eastern Cape – one of the country’s least effectively run provinces – could draw such a large and enthusiastic crowd. Equal Education had recently sent a group of South African luminaries – including constitutional law professor Pierre de Vos, writers Zakes Mda and Njabulo Ndbele, Archbishop Thabo Makgoba, and activists Elinor Sisulu and Sindiwe Magona – on a Solidarity Visit to draw attention to the appalling state of school infrastructure.
They described collapsing mudwalled classrooms; inadequate supplies of books and stationery; children without desks; and, most memorably, the disgusting state of school toilets. Children complained of contracting diseases from filthy, broken latrines, and many of them chose rather not to use them at all – either risking their health or relieving themselves in the veldt. It was the toilets that seemed to many to sum up the Department of Basic Education’s lack of respect for the children it is supposed to educate.
It’s been difficult not to think about the Solidarity Visit and its report fairly recently. Last week, a little boy was killed when he fell into a pit toilet at a primary school in Chebeng, a village in Limpopo Province. Referring to a 2011 survey, Equal Education noted:
This death coincided with a series of protests in the Madibeng municipality in the North West, over water shortages, which led to the deaths of three protestors. After an outcry over both alleged police brutality, as well as revelations as to the mismanagement of the municipality, the mayor resigned and water was restored. Residents say, though, that the water remains too dirty to use.
These protests are nothing new. Residents of this and other municipalities in the North West have been demanding a clean, reliable water supply – and it’s worth emphasising that they’re billed for water regardless of whether it flows or not – since at least 2011. As even ANC stalwart Trevor Manuel has admitted, the problem in Madibeng is that a dysfunctional, corrupt local government cannot provide basic services. In 2010, the municipality was placed under administration:
The violence of these protests has drawn attention to crises not only in policing (and it would seem that some of the police who were present at the Marikana massacre were at Madibeng too), but also in the regular provision of clean water to South Africans. As both Eyewitness News and an Africa Check have demonstrated, the Department of Water and Environment Affairs’ claim that 94% of South Africans have access to safe drinking water doesn’t, well, hold any water. A 2011 general household survey published by Statistics South Africa reports that:
Moreover, South Africans have reported declining satisfaction with the quality of water provided, complaining that in some municipalities it is not clean enough to drink and cook with.
A protestor holds aloft a copy of the constitution. Taken at the Right2Know campaign’s march to Parliament, October 2010.
It is not difficult to understand why communities living in rural areas and informal settlements – those usually with the least access to basic services – protest poor and irregular water supplies with such anger. Usually described as ‘service delivery protests,’ demonstrations over poor municipal governance have, over the past few years, become ever more frequent and violent. But they are more than protests over bad service delivery.
The idea of water as a public good dates from around the mid-nineteenth century, when local governments became interested in ensuring clean water supplies as a way of combating the spread of disease. South Africa is one of the few countries in the world which enshrines the right to access clean, safe water in its constitution. Citizenship is, then, closely connected to being able to fill a pot with clean water from a kitchen tap; to take a shower in a bathroom; and to flush a porcelain toilet. In a country where access to water was, under apartheid, determined by a racist urban planning system, these current service delivery protests are a revolt around the denial of citizenship.
Tangerine and Cinnamon by Sarah Duff is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License.