Function and performance are distinct concepts. Function pertains to how well a person is functioning overall, often measured by their levels of distress or stress. Regardless of skill level, a person experiencing high levels of distress or stress is less likely to function or perform effectively. Chronic or extreme distress and stress can lead to mental illnesses, which is the focus of emerging global psychosocial safety laws.
Performance refers to a person’s ability to do a job by applying their skills and talents, which is underpinned by Bandura’s concept of self-efficacy—the belief in one's capability to execute tasks. Self-efficacy can be general, where a person feels generally competent and skilled, or specific, relating to tasks like riding a bike, racing a car, or performing work-related duties. General and specific self-efficacy influence each other, and extensive research demonstrates their impact on nearly all performance domains in life, more so than self-esteem.
Traditionally, higher skill levels have been assumed to lead to lower distress. However, our research revealed the opposite: ASCA (Anxiety, Stimulation, Conformity, and Ambiguity) directly affects distress and stress, not self-efficacy (whether general or specific). This explains why highly skilled professionals like doctors can still experience significant distress. Their skills do not shield them from the impacts of ASCA; instead, ASCA directly influences their levels of distress and stress.
This insight challenges the traditional approach of addressing distress by improving individual skills and self-efficacy. Instead, the focus should be on managing the forces that contribute to ASCA, which directly affect distress and stress levels. The leader is the critical factor in influencing ASCA. Effective leadership can reduce ASCA’s negative impact, while poor or toxic leadership can amplify ASCA.