2007 Forschende Komplementärmedizin  
Aims: This work addresses what philosophical and ethical bases, obligations and imperatives drive complementary and alternative medical research, and how satisfaction of these philosophical and moral conditions can enable a realistically integrative medicine. It argues that a core philosophy determines the ethical foundations of medicine, and compels and sustains the moral obligations for and in CAM research. Methods: The phenomenological method is used to describe the essence of medical
more » ... e, and show how the relational structure of the practice is critical to and supported by the moral obligations for progressive knowledge so as to satisfy both beneficence and non-maleficence along a continuum of normative and applied ethics. Through analysis of knowledge domains required for clinical practice, this work will posit the need for ongoing research in CAM, development and utilization of broader, yet no less rigorous research methodologies, and the importance of such studies to satisfy the epistemic, empirical, contextual and prudential dimensions upon which the ethics of the clinical encounter rely. Results: This work posits a deontic ( rule-based) ethical framework that 1) constructs the general moral affirmations required of the practice of medicine, and 2) elucidates the importance of research-derived knowledge to the "structure and acts" of that practice. Yet, while necessary, rules for research and practice are not sufficient, and this deontic foundation also sustains the necessity of agent based ethics, and the importance of research, and research-derived knowledge to the therapeutic and moral agency of the clinician. Conclusions: Such research-based knowledge fulfills, and is consistent with the philosophical premises and moral obligations that best uphold the possibility for a truly "integrative" medicine as an individual and public good within pluralized societies. The development of heterodox approaches in research, education, practice, and need for supportive policy change(s) will be discussed to encourage considerations and dialogue for the future.
doi:10.1159/000101981 fatcat:seokr656xzc3fjcldftarcfxr4