Career in Europe
Freund is best known for being the first to apply plethysmography (measurement of bloodflow) to the penis, thus permitting the first objective measurement of sexual arousal in males. Over his career, he refined the penile plethysmograph as part of a broad program of research on male sexual interest. The device remains controversial, and indeed Freund published articles acknowledging its limitations. Among other concerns, sexual offenders could sometimes suppress arousal through concentration or surreptitiously causing themselves pain, similar to methods for producing false results on a polygraph (lie detector). However, Freund still felt that the plethysmograph remained the best measure of arousal (there was no evidence that subjects could consistently fake arousal, though they could sometimes suppress it.) Other researchers and activists dispute PPG as the best measure of orientation, pointing out that neither identity nor behavior are perfectly correlated with measured or self-reported arousal. Freund acknowledged this, and in fact demonstrated it in his studies, but maintained that orientation per se was best defined as the object of arousal.
Freund was initially commissioned to use penile plethysmography to detect recruits attempting to evade military service by falsely claiming to be homosexual. (The Czechoslovakian military barred homosexuals from serving.) His larger research program, however, focused on detection and diagnosis of sex offenders, particularly preference pedophiles, with a view to more appropriate treatment guidelines. Freund was also involved in administering conversion therapy: "Freund made a large-scale attempt in Czechoslovakia in the 1950s to change the sexual orientation of homosexuals to a heterosexual orientation through the use of behavioral aversive therapy." His empirical data also showed some of the first evidence that sexual orientation conversion therapy was generally futile. He demonstrated that even homosexually oriented men who appeared to have given up sexual relations with other men and established heterosexual marriages were still aroused by images of men rather than women. Freund also challenged contemporary psychoanalytic theories of male homosexuality that suggested it was due to a fear or aversion to women. Freund concluded that homosexual men simply lacked erotic interest in females. Based on these studies, he advocated the decriminalization of homosexuality in Czechoslovakia (which took place in 1961) and the end of conversion therapy. These opinions also put him out of favor with the psychoanalytically dominated psychiatric establishment in Toronto, as he continued to argue that homosexuals needed understanding and acceptance rather than treatment.
Freund received his M.D. at Charles University of Prague, and later a D.Sc. degree there in 1962. He carried out post-doctoral research and later both research and clinical work at Charles University's Sexological Institute.
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