Kurt Freund
Encyclopedia
Kurt Freund was a Czech-Canadian physician
Physician
A physician is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments...

 and sexologist best known for developing phallometry (the objective measurement of sexual arousal
Sexual arousal
Sexual arousal, or sexual excitement, is the arousal of sexual desire, during or in anticipation of sexual activity. Things that precipitate human sexual arousal are called erotic stimuli, or colloquially known as turn-ons. There are many potential stimuli, both physical or mental, which can cause...

 in males), research studies in pedophilia
Pedophilia
As a medical diagnosis, pedophilia is defined as a psychiatric disorder in adults or late adolescents typically characterized by a primary or exclusive sexual interest in prepubescent children...

, and for the "courtship disorder
Courtship disorder
Courtship disorder is a theoretical construct in sexology in which a certain set of paraphilias are seen as specific instances of anomalous courtship instincts in men. The specific paraphilias are exhibitionism, voyeurism, telephone scatologia, frotteurism, and biastophilia...

" hypothesis as a taxonomy of certain paraphilia
Paraphilia
Paraphilia is a biomedical term used to describe sexual arousal to objects, situations, or individuals that are not part of normative stimulation and that may cause distress or serious problems for the paraphiliac or persons associated with him or her...

s (voyeurism
Voyeurism
In clinical psychology, voyeurism is the sexual interest in or practice of spying on people engaged in intimate behaviors, such as undressing, sexual activity, or other activity usually considered to be of a private nature....

, exhibitionism
Exhibitionism
Exhibitionism refers to a desire or compulsion to expose parts of one's body – specifically the genitals or buttocks of a man or woman, or the breasts of a woman – in a public or semi-public circumstance, in crowds or groups of friends or acquaintances, or to strangers...

, toucherism, frotteurism
Frotteurism
Frotteurism refers to a paraphilic interest in rubbing, usually one's pelvis or erect penis, against a non-consenting person for sexual gratification. It may involve touching any part of the body including the genital area. A person who practices frotteurism is known as a frotteur...

, and what he called "preferential rape").

Early life

Freund was born into a German-speaking Jewish family in Chrudim
Chrudim
Chrudim is a city in eastern Bohemia, in the Pardubice region of the Czech Republic.The oldest archaeological findings which provide first signs of the settlement in this area date back to the 5th millennium BC. Various cultures succeeded one on another in the territory of today’s town of Chrudim...

, then part of Austrian Bohemia
Bohemia
Bohemia is a historical region in central Europe, occupying the western two-thirds of the traditional Czech Lands. It is located in the contemporary Czech Republic with its capital in Prague...

, later Czechoslovakia
Czechoslovakia
Czechoslovakia or Czecho-Slovakia was a sovereign state in Central Europe which existed from October 1918, when it declared its independence from the Austro-Hungarian Empire, until 1992...

, now in the Czech Republic
Czech Republic
The Czech Republic is a landlocked country in Central Europe. The country is bordered by Poland to the northeast, Slovakia to the east, Austria to the south, and Germany to the west and northwest....

. He married Anna Hloun, a non-Jewish Czech pianist and music teacher, on 13 January 1942. In 1943, they divorced in order to protect Anna and their newborn daughter Helen from anti-Jewish and anti-miscegenation legislation implemented by the German Nazi Occupators
German occupation of Czechoslovakia
German occupation of Czechoslovakia began with the Nazi annexation of Czechoslovakia's northern and western border regions, known collectively as the Sudetenland, under terms outlined by the Munich Agreement. Nazi leader Adolf Hitler's pretext for this effort was the alleged privations suffered by...

. They remarried after the war in 1945, and Anna gave birth to a son, Peter, in 1948. Many of Freund's relatives died during the Holocaust, including his parents Heinrich and Hella, and his brother Hans.

Career in Europe

Freund is best known for being the first to apply plethysmograph
Plethysmograph
A plethysmograph is an instrument for measuring changes in volume within an organ or whole body .-Lungs:...

y (measurement of bloodflow) to the penis
Penis
The penis is a biological feature of male animals including both vertebrates and invertebrates...

, thus permitting the first objective measurement of sexual arousal in males. Over his career, he refined the penile plethysmograph
Penile plethysmograph
Penile plethysmography , or "phallometry", refers to measurement of bloodflow to the male genital. The most commonly reported methods of conducting penile plethysmography involve the measurement of the circumference of the penis with a mercury-in-rubber strain gauge, or the volume of the penis with...

 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
Polygraph
A polygraph measures and records several physiological indices such as blood pressure, pulse, respiration, and skin conductivity while the subject is asked and answers a series of questions...

 (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
Conscription
Conscription is the compulsory enlistment of people in some sort of national service, most often military service. Conscription dates back to antiquity and continues in some countries to the present day under various names...

 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.
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

 at Charles University of Prague, and later a D.Sc.
Doctor of Science
Doctor of Science , usually abbreviated Sc.D., D.Sc., S.D. or Dr.Sc., is an academic research degree awarded in a number of countries throughout the world. In some countries Doctor of Science is the name used for the standard doctorate in the sciences, elsewhere the Sc.D...

 degree there in 1962. He carried out post-doctoral research and later both research and clinical work at Charles University's Sexological Institute.

Career in Canada

Freund fled to Canada
Canada
Canada is a North American country consisting of ten provinces and three territories. Located in the northern part of the continent, it extends from the Atlantic Ocean in the east to the Pacific Ocean in the west, and northward into the Arctic Ocean...

 in 1968, in the wake of the Prague Spring
Prague Spring
The Prague Spring was a period of political liberalization in Czechoslovakia during the era of its domination by the Soviet Union after World War II...

. Freund then began plethysmography studies of male sexual orientation at the Centre for Addiction and Mental Health
Centre for Addiction and Mental Health
The Centre for Addiction and Mental Health is a consortium of mental health clinics at several sites in Toronto, Ontario, Canada. Its name in French is Centre de toxicomanie et de santé mentale...

 (then called the Clarke Institute of Psychiatry
Clarke Institute of Psychiatry
The Centre for Addiction and Mental Health is a psychiatric hospital in Toronto, Ontario. Much of their work focuses on forensic psychology, sex addiction, drug addiction, and research designed to shape public policy....

) in Toronto
Toronto
Toronto is the provincial capital of Ontario and the largest city in Canada. It is located in Southern Ontario on the northwestern shore of Lake Ontario. A relatively modern city, Toronto's history dates back to the late-18th century, when its land was first purchased by the British monarchy from...

, where much of the research and published data using PPG originated. The Kurt Freund Laboratory at that centre is named after him. There was controversy regarding potential abuses of devices to measure sexual interests, following fears that it might lead to discrimination against gay men. Phallometric testing has been shown, however, to be one of the most accurate, if not the single most accurate, methods of identifying the sexual offenders that are most likely to commit new sexual offenses against children. On the other hand, another study concluded that "although the validity of the technique for research and clinical assessment is now established, justification for the routine use of the technique must await a proper standardization of the technique and the publication of reliable norms."

Later life

Freund was diagnosed with cancer in 1994 and was a member of Dying with Dignity. When his health deteriorated in 1996, he committed suicide
Suicide
Suicide is the act of intentionally causing one's own death. Suicide is often committed out of despair or attributed to some underlying mental disorder, such as depression, bipolar disorder, schizophrenia, alcoholism, or drug abuse...

 by taking a lethal cocktail of muscle relaxants, sleeping pills and wine
Wine
Wine is an alcoholic beverage, made of fermented fruit juice, usually from grapes. The natural chemical balance of grapes lets them ferment without the addition of sugars, acids, enzymes, or other nutrients. Grape wine is produced by fermenting crushed grapes using various types of yeast. Yeast...

. Freund was cremated
Cremation
Cremation is the process of reducing bodies to basic chemical compounds such as gasses and bone fragments. This is accomplished through high-temperature burning, vaporization and oxidation....

, and his ashes were scattered on the lawn across from his office at the Clarke Institute in Toronto and on the grounds of Psychiatric Hospital Bohnice in Prague
Prague
Prague is the capital and largest city of the Czech Republic. Situated in the north-west of the country on the Vltava river, the city is home to about 1.3 million people, while its metropolitan area is estimated to have a population of over 2.3 million...

, where he had worked for many years in Czechoslovakia.

Selected publications

  • Freund, K., J. Diamant, and V. Pinkava
    Jan Kresadlo
    Jan Křesadlo was the primary pseudonym used by Václav Jaroslav Karel Pinkava , a Czech psychologist who was also a prizewinning novelist and poet....

    . 1958. "On the validity and reliability of the phalloplethysmographic (Php) diagnosis of some sexual deviations." Rev Czech Med 4:145-51.

  • Freund, K. 1963. "A Laboratory Method For Diagnosing Predominance Of Homo- Or Hetero-Erotic Interest In Male." Behav Res Ther 21:85-93.
  • Freund, K. 1962. Homosexualita u muže (Homosexuality in man), Praha : Státní zdravotnické nakladatelství (State Medical Publisher), 274 pages, 3000 copies
    • Freund, K. 1963. Die Homosexualität beim Mann, 1-st edition, Leipzig : S. Hirzel Verlag, 275 pages
    • Freund, K. 1965. Die Homosexualität beim Mann, 2-nd, expanded edition, Leipzig : S. Hirzel Verlag, 321 pages
  • Freund, K. 1965. "A simple device for measuring volume changes of the male genital organ." Československá psychiatrie 61:164-6.
  • Freund, K. 1967. "Diagnosing homo- or heterosexuality and erotic age-preference by means of a psychophysiological test." Behav Res Ther 5:209-28.
  • Freund, K. 1974. "Male homosexuality: an analysis of the pattern." in Understanding Homosexuality: Its biological and psychological bases, edited by J. A. Lorraine. Lancaster, England: Medican and Technical Publishing Company, Inc.
  • Freund, K. 1977. "Should homosexuality arouse therapeutic concern?" J Homosex 2:235-40.
  • Freund, K. 1977. "Psychophysiological assessment of change in erotic preferences." Behavioral Research and Therapy 15:297-301.
  • Freund, K. 1978. "A conceptual framework for the study of anomalous erotic preferences." J Sex Marital Ther 4:3-10.
  • Freund, K., S. Chan, and R. Coulthard. 1979. "Phallometric diagnosis with 'nonadmitters'." Behav Res Ther 17:451-7.
  • Freund, K., B. W. Steiner, and S. Chan. 1982. "Two types of cross-gender identity." Arch Sex Behav 11:49-63.
  • Freund, K. and R. Blanchard. 1983. "Is the distant relationship of fathers and homosexual sons related to the sons' erotic preference for male partners, or to the sons' atypical gender identity, or to both?" J Homosex 9:7-25.
  • Freund, K., H. Scher, and S. Hucker. 1983. "The courtship disorders." Arch Sex Behav 12:369-79.
  • Freund, K., H. Scher, I. G. Racansky, K. Campbell, and G. Heasman. 1986. "Males disposed to commit rape." Arch Sex Behav 15:23-35.
  • Freund, K. and R. Blanchard. 1986. "The concept of courtship disorder." J Sex Marital Ther 12:79-92.
  • Freund, K., Watson, R. & Rienzo, D. (1987). A comparison of sex offenders against male and female minors. Journal of Sex & Marital Therapy, 13, 260-264.
  • Freund, K., Watson, R. & Rienzo, D. (1988). Signs of feigning in the phallometric test. Behaviour Research & Therapy, 26, 105-112.
  • Freund, K., Watson, R. & Rienzo, D. (1988). The value of self-reports in the study of voyeurism and exhibitionism. Annals of Sex Research, 1, 243-262.
  • Freund, K., Watson, R. & Rienzo, D. (1989). Heterosexuality, homosexuality, and erotic age preference. The Journal of Sex Research, 26, 107-117.
  • Freund, K. & Watson, R. (1990). Mapping the boundaries of courtship disorder. Journal of Sex Research, 27, 589-606.
  • Freund, K., Watson, R. & Dickey, R. (1990). Does sexual abuse in childhood causes pedophilia? An exploratory study. Archives of Sexual Behavior, 19, 557-568.
  • Freund, K. & Watson, R. (1991). Assessment of the sensitivity and specificity of a phallometric test: An update of "Phallometric diagnosis of pedophilia". Psychological Assessment, 3, 254-260.
  • Freund, K., Watson, R., Dickey, R., & Rienzo, D. (1991). Erotic gender differentiation in pedophilia. Archives of Sexual Behavior, 20, 555-566.
  • Freund, K., Watson, R. & Dickey, R. (1991). Sex offenses against female children perpetrated by men who are not pedophiles. Journal of Sex Research
    Journal of Sex Research
    The Journal of Sex Research is a scientific journal published by the Society for the Scientific Study of Sexuality . In 1963, the society had published a one-issue journal entitled Advances in Sex Research...

    , 28, 409-423.
  • Freund, K., Watson, R., & Dickey, R. (1991). The types of heterosexual gender identity disorder. Annals of Sex Research, 4, 93-105.
  • Freund, K. & Watson, R.J. (1992). The proportions of heterosexual and homosexual pedophiles among sex offenders against children. Journal of Sex & Marital Therapy, 18, 34-43.
  • Freund, K. & Watson, R.J. (1993). Gender identity disorder and courtship disorder. Archives of Sexual Behavior, 22, 13-21.
  • Freund, K. and M. Kuban. 1993. "Toward a testable developmental model of pedophilia: the development of erotic age preference." Child Abuse Negl 17:315-24.

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