Crimes are committed every day, women do get raped and tortured by people that share the type of fantasy anonymous has - what makes it different for for those that can't realise something is just a fantasy and not act out on it? Who knows? Why some people can get angry about losing a job, and others can fly into a rage and burn a whole building down.
Obviously human beings are capable of the cruelest things imaginable, if jeffrey dahmer had sat down with a psychologist and explained the type of fantasies he had before he had actually commited them.. I wonder what that doctor would have said to 1. make any real difference to what he would later go on to do or 2. if they would have just patted him on the head and said 'thats okay kiddo, fantasies are no biggie' and trusted him to be out in society and supervised.
Obviously people are capable of fantasies of all sorts being able to lead a normal healthy life without ever having acted on anything that would hurt anyone. Anonymous is a great example of that. I really don't know what would be advised in this case that would have the better outcome, allowing him to continue to act it out in CGI online to curb his apetite for it.. or having him stop to start forming more healthier fantasies , possibly causing him to inadvertently focus even more on the other stuff since he's not supposed to think about it.
It seems like at this point everyone is being pretty supportive of him, you included, his doctor etc, not to mention a whole online community that share his sexual fetish. While cold turkey may lead him to obsess over it even more, I do think that he should be at least slowly introducing different fantasies and tapering off that one.
Societal pressures do lead people to curb some of their more unusual/unsafe desires, in a way I think its good for him mentally that he found a community that makes him feel less like a weirdo, makes him feel he's not the only one that thinks this way, but in a way its bad for him mentally as well because it is in a way kind of positively reinforcing this behavior.
If things like CGI weren't available (scientifically plausible) what outlet would those that NEED this type of visual stimulation use? Snuff Films? Etc?

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