Self psychologyand cognitive treatment: An integration

Although self psychology and cognitive treatment appear, on the surface, to represent diametrically-opposed models of treatment, they can be integrated in clinical social work treatment. A theoretical framework for this integration is presented. Adapting self psychology treatment through the use of cognitive techniques may allow clinicians to help clients with narcissistic disorders within the framework of shorter-term, less-intensive treatment which is increasingly required by programs and reimbursement sources.