Background: An individual’s video recorded narration and playback allows for cognitive, emotional, and behavioral messages to be experienced from both a subjective and objective viewpoint. These sometimes divergent points of view may become more fully integrated through the use of video narrative playback (VNP). Objective: The study’s purpose was to examine the impact of video narration and playback on insight and selfobject needs. It was hypothesized that VNP would increase insight, and satisfy selfobject needs for the narrator more than video narration alone. Participants and Methods: 54 adult participants were randomly assigned to an experimental (narrative and playback) or control (narration alone) group. Insight and selfobject needs were quantified using standardized measures. Data were collected at baseline and at two post intervention intervals, over a 2-day period. After each intervention, participants also completed a brief qualitative questionnaire. Results: Paired-sample t tests were conducted to address contamination between conditions, as controls partially viewed narratives. Results indicated a statistically significant increase in both self-reflection and insight for the experimental group after the second day. On both days, avoidance of mirroring (fear of rejection) significantly increased compared to baseline. The control group showed a significant decrease in hunger for twinship (a decrease in alienation) compared to baseline. Findings from the qualitative analysis were consistent for the experimental group. Experimental participants reported increased insight and self-reflection among other benefits. Conclusions: These preliminary findings suggest that VNP had an overall therapeutic effect. Further research is recommended. Implications for practice and research are discussed.