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This philosophical case consultation is intended to initiate a discussion including philosophical, ethical, and pedagogical ideas about an alternative way that psychiatric ethics can be taught and practiced. The authors present their working collaborative model between a psychiatrist and a philosophical ethicist, offer three cases for discussion, and discuss three points of interest: 1) the characteristics we found to be important to our collaborative project, 2) the benefits of an integrative approach, and 3) how our collaborative moral reasoning developed our awareness of and sensitivity to ethical issue. We end by identifying limitations to this approach. We welcome responses and suggestions from commentators on proposed topics or other areas of interest to them.