Abstract：
This paper explores the dilemma faced by mental healthcare professionals in balancing treatment of mental disorders with promoting patient well-being and flourishing. With growing calls for a more explicit focus on patient flourishing in mental healthcare, we address two inter-related challenges: the lack of consensus on defining positive mental health and flourishing, and how professionals should respond to patients with controversial views on what is good for them. We discuss the relationship dynamics between healthcare providers and patients, proposing that \'liberal\' approaches can provide a pragmatic framework to address disagreements about well-being in the context of flourishing-oriented mental healthcare. We acknowledge the criticisms of these approaches, including the potential for unintended paternalism and distrust. To mitigate these risks, we conclude by suggesting a mechanism to minimize the likelihood of unintended paternalism and foster patient trust.
摘要：
本文探讨了精神保健专业人员在平衡精神障碍治疗与促进患者福祉和繁荣方面面临的困境。随着越来越多的人呼吁更明确地关注患者在精神医疗领域的繁荣，我们解决了两个相互关联的挑战:在定义积极心理健康和繁荣方面缺乏共识，以及专业人士应该如何回应患者对什么是有益的有争议的观点。我们讨论了医疗保健提供者和患者之间的关系动态，提出“自由”的方法可以提供一个务实的框架，以解决繁荣导向的心理健康背景下关于幸福的分歧。我们承认对这些方法的批评，包括潜在的意外家长制和不信任。为了减轻这些风险，最后，我们提出了一种机制，以最大程度地减少意外家长制的可能性，并促进患者的信任。
