How family, school, and social background contribute to the self-identity and subsequent self-concept and self-esteem of highly gifted individuals may be related to whether or not they eventually self-actualize. The author examined factors that possibly relate to the development of individuals who are self-actualized; and which, if any of these factors, are predictors of highly principled moral reasoning development. Forty-one case studies were analyzed using characteristics of emotional and moral reasoning stages outlined by Erikson, Maslow, Dabrowski, Kohlberg, and Rest.