The purpose of this article is to identify three historical images of Black women (Mammy, Sapphire, & Jezebel), discuss their historic origins, and describe the impact of each image on various aspects of Black women's psychological functioning. Connections will be made between the Mammy image and disordered eating, concerns about physical features, such as skin color and hair texture, and role strain; between the Sapphire image and the expression of anger; and between the Jezebel image and sexual functioning and victimization. Implications for these images for psychotherapeutic practice will be discussed.