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This article reviews much of the history of the use of imagery from Breuer and Freud, Jung, Ferenczi to Reyher, Singer, Desoille, Assagioli, Beck, and Ahsen. In addition, I present my theoretical and clinical perspectives on the use of imagery in psychoanalysis. My own work involves using the Gestalt technique of asking a patient to become the person or object in a dream or the mind’s eye, often with powerful results. I also request that patients report what they are “seeing,” as well as what they are experiencing. Sensory regions of the brain are closer to emotional networks than are the regions related to language and meaning, resulting in greater affective change in the patient.