A negative self-image is a well-known symptom in many psychiatric disorders. Many treatments, such as cognitive behavioral therapy (CBT) and psychodynamic therapy (PD), are therefore used. CBT focuses on the self-image, while PD works with the self-image and the image of the other. A fictitious case shows how affect phobia therapy (AFT), a representative of PD, examines this dual focus. When comparing the dual AFT approach with the single CBT treatment, it appears that both approaches improve self-image, the image of the other and interpersonal functioning.