As far back as Karla can remember, she has always felt that she was inadequate. She is very insecure and often refers to herself as incompetent. According to Erickson, which of the following conflicts was Karla most likely unsuccessful with overcoming?

A.
Autonomy vs. shame and doubt

B.
Generativity vs. stagnation

C.
Initiative vs. guilt

D.
Integrity vs. despair