The findings were that all of the men had completed the developmental tasks of adolescence, but they separated into two groups due to differences in their adult outcomes. Those who did well had had good therapeutic alliances in psychotherapy as adolescents. Several improved despite significant substance abuse during adolescence and had fulfilling adulthoods. Those who did less well had more severe psychopathology and physical illness during adolescence, were less introspective, and had weaker relationships with the therapist. It is proposed that the psychotherapy in adolescence was beneficial for all of these patients, but different in its efficacy in accordance with patient characteristics.