To DIAGNOSE a pedophile without some evidence of child abuse is like trying to DIAGNOSE an alcoholic who's never had a weekly bender.. No patient history -- no disease.
DIAGNOSE. Here's the scene, a patient sitting in the psychologist's office:
Patient: "Doc, all of my sexual fantasies are focused on 10 year old boys. I know it's wrong, I always avoid being alone with children, I don't want to hurt any child, but when I'm alone I think about those naked boys and me on a desert island, blah blah blah. What can I do to stop fixating on naked 10 year old boys? Help me please.
You're telling me that this guy is not a pedophile in your books?
This guy is a pedophile but he's not a child molester. Like the op-ed writer noted,
pedophilia is a diagnosis, not a crime. Child abuse is the crime.
Let's handle the Last part first. The guy MAY BE a pedophile, but he's gonna be a child molester BEFORE he gets his official pedophile diploma when this "intervention" fails.
From the quotes got that posted about what TOOLS the shrink has to use we know ---
1) TALKING the guy out this state is futile.
2) The "doc" is NOT gonna escalate to chemical castration or sedation without shitloads of further evidence.
3) This is the BEGINNING of diagnosis and is insufficient to leap to conclusions.
What is this guys age, life situation, previous mental history?
What is the story of his sexual activity?
Has he obtained child porn or catalogued potential children for his own purposes?
Has he associated with OTHERS who have the same fantasies?
What OTHER fantasies might this person have?
All leading up to the assessment of what COMMITMENTS the person has made to start ILLEGAL activities associated with child abuse.
It COULD eventually lead to a diagnosis of pedophilia, but there is no meaningful treatment until there is an ACT or specific INTENT towards child abuse. Correct me if I'm wrong here.