I don’t believe pedophilia is a disease.
The reason why I don’t believe pedophilia is a disease, is because it does not inherently hurt the “sufferer”.
Nowadays, we have a tendency to define someone as sick when they do terrible things. Anders Behring Breivik was initially defined schizophrenic for killing 77 people, until a second set of psychiatrists evaluated him and found him sane. He was an ideologically motivated killer, but his actions were unfathomable to many.
Same with pedophiles who molest kids. Their actions are vile and disgusting to most people nowadays, and thus the perpetrator must be sick. Their conclusion is also supported by the fact that pedophiles are actually sexually different from normal people, and can’t stop their attraction to children.
But to me, there is no doubt that it’s an orientation. A socially and morally problematic one, but still an orientation. If it was a disease, the pedophiles themselves would be inherently hurt by their disease. Instead, they are only hurt by society forbidding their actions (or even just feelings, as even non-molesting pedophiles can be hurt by society). Hurting other people should not be in the definition of a mental disease, as it says nothing about hurting the perpetrators themselves. Being hurt by social ostracism should not be in the definition of a disease, because then anything can suddenly be called a disease. Including having unpopular opinions. At most, pedophilia can be called a handicap. Like being an introvert trying to find a job. Or being too picky in the sexual marketplace.
If any of this sounds pedophile-excusing to you, you are still conflating mental health with the issue of morality. They are two completely different things. It’s not the task of psychiatry to insert morality into the definition of mental health. The task of psychiatry is to study and deal with mental health alone.