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I agree for the most part, particularly that we should be open minded.
Obviously we don't have much reliable data, which I think is critically important.
The only thing I world add is that, I'm not sure treating a desire for CSAM would be the same as substance abuse. Like "weaning an addict off CSAM" seems like a strange proposition to me.
Maybe I was unclear, when I relate potential generated material to controlled substances, I mean in relation to how you obtain it.
You go see a psych, probably go through some therapy or something, and if they feel it would be beneficial you would be able to get material via strictly controlled avenues like how you need a prescription for xanax and its a crime to sell or share it.
(and I imagine..... Some sort of stamping whether in the imagery or in the files to trace any leaked material back to the person who shared it, but thats a different conversation)