Right. I shouldn't have assumed it was obvious why many people would prefer to maximize risk-adjusted returns over maximizing expected returns.
One reason, as you mention, is that most people have some goals in life. The amount of happiness gained by having $500,000 more than enough to put the kids through college, pay off the house, and retire at age 60 is less than the unhappiness of being $500,000 short of these goals. Most people's happiness isn't a linear function of their money, and it's perfectly rational to maximize happiness instead of maximizing money.
But, even if you're just trying to maximize money, the amount of leverage (loans, etc.) you can get should be related to your probability of being able to pay the loan back, so better risk-adjusted returns should allow you to get more leverage, leading to better expected returns if you're the type to maximize leverage.