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The outcome of a child becoming 'anal retentive' as a result of overly strict potty training is grounded in psychosexual development theories, particularly those proposed by Sigmund Freud. Freud suggested that the anal stage of development occurs roughly between the ages of 1 to 3 years, during which children derive pleasure from their ability to control body functions. If adults are excessively strict or punitive during this training period, children may feel a sense of shame or anxiety regarding their bodily functions. This can lead to behaviors characterized by excessive orderliness, perfectionism, and a need for control later in life, which are traits associated with being 'anal retentive.'

The other outcomes do not directly align with the implications of overly strict potty training. Developing a strong ego typically relates to healthy self-esteem and independence, while becoming overly dependent on others is more associated with negligence rather than strictness. Forming a secure attachment usually occurs when caregivers are responsive and nurturing, making it less likely in situations of overstrictness. Thus, 'anal retentiveness' is the most consistent outcome with the context of strict potty training practices.