Like almost any personality disorder or mental health issue that results in aberrent behavior, “proper” behavior can be learned, taught.

This woman is actually a Licensed Therapist seeing patients and she suffers as a High Mach abuser of her family and short-term “friends”. The more patients she sees, the better her “act” of appearing empathetic and “normal”.

For many Machiavellians, their empathy can be learned, and seems real. The more intelligent the patient, the more remarkable the High Mach performs in ‘parroting’ proper behavior.

This article is included in it’s entirety with full attribution and comes from https://www.sciencedirect.com/topics/psychology/machiavellianism

Machiavellianism