The best predictor of future behavior is past behavior. The best way to avoid repeating mistakes is to fully understand why we made the ones we made. It sounds like you've moved past and beyond what happened long ago. I'm very happy for you. I'm still learning about myself and examining my past sometimes helps me make more sense of my present. I don't want to have past events used against me in anyway, but for me they are relevant. My PDOC and therapists have not scribbled much while I've been in session fortunately. I would find it distracting and always need to ask what they are writing.

Have you let them know you don't feel your past is relevant? Have they helped you understand why you have these untypical urges? Have you ever visited a nudist colony? Perhaps that is where your tribe of like minded peeps resides? I'm glad you don't indulge in destructive urges and I hope you continue to do as well as you have these 40+ years.