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Previous research has linked specific sex role self-perceptions to two major eating disorders: anorexia nervosa and bulimia. To date, however, sex role self-perceptions and ideals unique to eating disturbance have not been distinguished from those related to depression and other concomitant psychopathology. The Bern Sex-Role Inventory was administered twice (self-ratings and ideal self-ratings) to 83 women: 37 eating disorder inpatients, 12 depressed inpatients, and 34 high school and college students. Results indicate that both patient groups scored significantly lower (p< .01) on the masculine self-ratings than did the students, whereas only the eating disorder group rated their ideal selves significantly higher (p < .05) on feminine ratings. Further analyses showed that the lower masculine self-ratings related to depression and that the higher feminine ideal self-ratings related to eating disturbance.