Controlling images and standards of beauty shapes body image: using a relational cultural approach to improve Black American women's well-being.

Objectives: Controlling images and racialized stereotypical myths inform Eurocentric and cultural standards of beauty that shape Black American women's body image and well-being. Cultural responsiveness is crucial in understanding the lived experiences of Black American women, the systemic oppressive factors that subjugate them, and the impacts on their mental health.

Design: An integrative review was conducted on controlling images and racialized stereotypes, standards of beauty, and body image to assess the contribution of these factors on Black American women's mental health, specifically, disordered eating, depression, and anxiety. Black Feminist and Intersectionality theories were used to conceptualize the role of controlling images and racialized stereotypes.

Results: A conceptual model is offered, and a discussion is provided to explain the contribution of controlling images and racialized stereotypes on the manifestation of standards of beauty and Black American women's perceptions of body image which leads to poor mental health outcomes.

Conclusions: Cultural responsiveness in therapeutic settings is imperative, as providers must understand the intersecting effects of controlling images and racialized stereotypes on Black American Women's well-being. Relational Cultural Theory is offered as a therapeutic modality that invites practitioners to move beyond symptom reduction and basic 'helping' interventions and gives emphasis to a contextual and relational approach that aims to ameliorate the impacts of systemic oppression and gender and racial marginalization.