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You can lack empathy for a number of reasons, it can be psychopath, sociopath, or narcissist, but also growing up in an unsafe environment or one that is unstable can teach a child to shut down (deny there own feelings or need for comfort) in order to survive. In later life they are unable to understand the feelings provoked in others because they don't understand them in themselves, attachment disorders stem from this, such as dismissive avoidance.
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