But I also wonder how useful it is to view pedophilia as a mental illness? Is it treatable?
In all honestly I think that comes down to the individual person. It's like with any violent crime, the person's physiological construction
and their psychological profile play a huge role in whether or not they will be responsive to rehabilitation. A lot of people say that pedophilia cannot be treated because they are conflating treatment with cure. We can't cure pedophilia, but rehabilitating individual pedophiles? I think that's do-able.
I find it difficult-to-impossible to believe that there aren't
some human beings out there who commit a sexual offense and then, either of their own volition or through VSOPs, experience genuine empathy and remorse for their victims. In fact, according to
this (which aggregates the total recidivism rates over 20 studies), pedophiles have one of the lowest levels of recidivism per populations of violent offenders (one estimate suggests as high as 50% reduction). I don't know how reliable that information is, as there is only one source link, but my therapist used to work with pedophiles, including sadistic pedophiles, and she reports similar findings.
I recall reading somewhere that on average, in prison, it takes about 7 years for violent offenders to start expressing remorseful behavior, but that more often than not, it does happen. People consign sexual offenses to this special category of behavior (that it's untreatable, incurable, and a person who does it will never have any remorse and will never be able to exist in society again) when that's just not what the data indicates. It's like any other violent crime, because it's a form of violence. And from personal experience, violent offenders can grow and change - even in adulthood.
Of course, the psychological profile plays a big part. Someone who has committed one act, where they may have groomed a child into sending a photo of themselves or sent inappropriate text messages, versus someone who locks a child in a hotel room and rapes them until their bodies are permanently damaged - those are two very different profiles.
Sadism, in general, is extremely difficult to treat and has a very low rate of response to any of the available therapies we have today.
We used to have this disorder called Sexual Sadistic Disorder in the DSM, and I think this is mostly the image people have in their minds when they talk about rehabilitating sexual offenders - and they would be correct, as the structural anomalies in the brains of people identified as having sexual sadistic tendencies also coincide with significant deficits of affective empathy. Frankly: they know they're behaving badly, and they don't care, and they get off on it. They're the folks who we
do have real trouble co-existing with in society, human-to-human, because they are very dangerous.
But by-and-large, most pedophiles aren't sadists. I can personally attest to this, having encountered probably hundreds of pedophiles in my life.
Are they gross? Are they abusive? Are they doing something horrific? Absolutely. But sadistic, that's not as common. And I think any pedophile who isn't a sadist could theoretically have the potential to rehabilitate, provided they meet other psychological milestones (which of course, not everyone will, even those folks - there's some correlation between
sexual offending and low IQ, so just
how much the lower-IQ folks are actually physically able to understand about their actions is a barrier to preventing them from doing it again).
I read your other post on Evil and it's interesting, I think we have a rather diametrically opposing worldview on the subject as I'm quite comfortable with the idea that it's either heritable, or spontaneous, since I don't put any stock on the mythological conceptions of "good/evil person" to begin with. People are the sum of their actions, and some people commit worse actions than others, because they are lacking in some way.
I think it's very probably down to the cellular, neuron-level; what actually permits sodium/ion channels to create electrical impulses that jump across the synapse and registers a desire/need to do/say something or to conceive a thought. It's the same thing, to me, as watching an animal behave according to its instincts. Animals do what they're going to do, because their biology is acting itself out according to a cycle. And we're not really any different, except that we can talk about it.
That is a not a reason to avoid punishing.
This is also another place that we diverge - punishment just isn't something that I believe is necessary. It doesn't fix anyone's problems, it just provides temporary emotional gratification. As I have very limited emotions, punishment is simply not relevant to me. I am more concerned with how we function as a society with this subset of people who live amongst us - who number the millions, undoubtedly, perhaps even the billions. How do we coexist with this group of people, and how do we do that while keeping ourselves and our communities safe?
Those are all very tough questions indeed - and in particular, tough to address as victims of these violent crimes,
especially as people who have PTSD from them. Ultimately, it is not excusable, regardless of its origin or why it happens. Whether it's a mental illness or a neurological divergence or a simple choice on their behalf, the end result is the same: children are being harmed and endangered.
And it is absolutely paramount that as a civilization, we devote as much resources as we can to combatting this issue and eradicating it.