I have Aspergers. I'm very capable of empathy. Over the years I've learned to show "appropriate" behavior in most situations, so that I'm able to blend in. Because I've spent so much time reading people and trying to mimic and understand them, I have an easy time manipulating people. I usually choose not to, because I've had a pretty strict moral code since forever. When talking to a shrink I know what to say to them to bend the conversation whichever way I want it to, but I've come to realize that doing that doesn't help me. I visited to a shrink to become a more functional human being, not to see how good I am at bullshitting.
As you can see, there's a few parallels between us, and a few differences. Not trying to be preachy whatsoever though. If it weren't for my overwhelming sense of empathy, I'd probably have an entirely different alignment. I wouldn't use my powers for good
At this point I just come up with evil schemes for fun, without going through with any of it.