They proceed with blessed indifference to how their monstrous, solipsistic behavior affects the lives of employees. How many heart attacks, stokes and serious mental health crisis’ have they caused? But reality doesn’t matter. What matters is the fatness of their personal bank accounts.
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I think most people who claw their way to the upper levels are sociopaths to begin with.
https://www.businessinsider.com/ceos-often-have-psychopathic-traits-2017-7
So yes, all they really care about is themselves, and they learn to fake any emotions society expects of them while lining their pockets.