Behaviors may arise from the conditions with respect to the strength of the drives.
What does society not afflicted with these drives say about understandably associated behavior that emanates from each of these three?
When pedophiles choose to act upon their behavior, that behavior is understandably considered horrific.
When bsdms choose to act upon their behavior, that behavior is generally considered to be weird and unappealing, but not horrific.
When homosexuals choose to act upon their behavior, that behavior is generally considered to be disgusting, but not horrific.
Behavior, ultimately, is everything. One can harbor a drive that could compel deviant behavior, but that's meaningless to society, pretty much, until that drive is acted upon, whereupon its behavior can then earn the label of "deviant".
The ground between not-a-choice and a-choice regarding drive-compelled behavior is, I would say, a bit of a gray area.
Sure, to commit a behavior requires a series of conscious choices.
But to be driven by a neuro-psychological condition that is highly compulsive to the degree that related "the devil made me do it" behavioral choices are made ...
... Well, in such a case, it seems more like such behavior is succumbed-to rather than independently and freely made.