I think you’re making assumptions that aren’t fair but maybe aren’t obvious either. Honestly I’m only thinking about this because I just watched the contrapoints video on twilight, and so I’ll use her example, though she’s talking about a slightly different topic. Gonna paraphrase like a mofo:
Weird Power dynamics between partners in a fantasy, like twilight, or say porn since we are being obvious here, is normal because self image often requires women to present one way while hiding their desires for sex. It’s absolution of a sort, and is ostensibly healthy to explore in this way. That said… Some examples such as race play in fantasies may dehumanize the “other” in super not cool ways and reinforce negative racial stereotypes.
If we take that and extend it to pedophiles, normalization of the thought process leading to that sort of disfunction/disorder seems like a not great thing, but yeah, we’d need to study to learn more and that seems both difficult and likely undesirable for the researchers.