I assume the inappropriate thoughts you speak of are related to sexual attraction to younger boys and girls. Sometimes survivors believe they will become abusive themselves even though they are not sexually attracted to children. The anxiety is very real and fueled by a negative self-image that feels irreparably attached to and affected by the abuse. Other times, children grow up to become adults who are, in fact, attracted to children. It is a tragedy but it does happen. The good thing here is he has admitted it to you and recognizes it as a problem.
I am not a professional so I certainly cannot dispense any clinical advice. However, as an amateur study on CSA and its related symptoms I might suggest reminding him that his attraction to children is not an orientation like heterosexuality/homosexuality/bisexuality but rather a mental disorder imposed upon him by his abuse that can be treated and eventually controlled at no expense to his health or happiness.
The book I ordered a month ago on the subject is Treating Sex Offenders: A Guide to Clinical Practice With Adults, Clerics, Children, and Adolescents​ by William E. Prendergast. I am hoping it is as informative the reviews say on Amazon but that is left to be determined. It is unfortunate that so little research has gone into stopping child abuse at its root cause.
I know you already know this but make sure to maintain an error of objectivity and comfort regarding the subject or else he may withdraw, which is counter-productive in the most extreme order. Lastly, and you know this already better than I, but if he discloses any abusive activity it is your duty to report him. Based on my research (Conversations with a Pedophile, Men Who Rape, Predators: Pedophiles, rapists, Other Sex Offenders, Unspeakable Acts: Why Men Sexually Abuse Children) once these guys commit themselves through action to their mental disorder they are much more difficult to treat. Whether we believe it is because they feel compelled to normalize their dysfunctional behavior or the act itself is so evil they become permanently disfigured psychologically is left for better minds than myself to decide and address appropriately.
Good luck and thank you for your continued efforts to heal all mental wounds be they from CSA or otherwise!
Edited by Publius (08/06/12 03:22 AM)
"Life is like this dark tunnel. You may not always see the light at the end of the tunnel, but if you keep moving, you will come to a better place." ~ General Iroh