The later years also uncork surprises. Though trained as a psychoanalyst, Vaillant bluntly declares that "Freud vastly overestimated the importance of childhood." Indeed, the personality is not fully formed by age 5, nor even by 45. True, most of the men with good outcomes at midlife continued to thrive and enjoy a vital old age. The few all-around successes who fell apart almost always did so as a result of disease. Yet many men who looked unimpressive at 46 had lives that became startlingly better. This seems to be a consequence of continuing maturation--and of avoiding accidents.