I do not think it means what you think it means.
Whenever you become anxious or stressed, outer purpose has taken over, and you have lost sight of your inner purpose. Your state of consciousness is primary. All else is secondary.
Myself, I did not read it that way. First person out only draws 4 cubes per turn; it's deadly enough as it is; having 3 people draw against one man still in the ship is overkill on the death sentence, IMO.
Then original Clank is for you. Only the first person out draws. But it is usually more than four cubes.