This document is issued by Psychoanalytic Voices for Palestine (PVP). It proposes a shared ethical framework addressing silencing, structural determinants of mental health, and the responsibilities of mental health practitioners in a changing world. It aims to support ethical clarity, protected dialogue, and global professional solidarity across differing perspectives and contexts. It is offered as a living document and we warmly invite thoughtful comments and reflections. Contributions will be monitored, and responses provided to support constructive discussion.