Frankly that's a really interesting perspective.
OP I know what you mean - and I think some people are misunderstanding or thinking you're talking about empathy, which is something everyone has unless they are a psychopath.
No, "Being an Empath" is a whole Thing in certain circles, strongly associated with woo accreditations, and yes, unfortunately, does often seem to mean overly self-centred and/or crap at actually judging the effect of their actions or words on others.
My mum is one of these. She genuinely believes that she is very special and sensitive and different to other people - and I believed it as well for a really long time, until DH (and MN) among others wondered why I was always running rings around in order to try and avoid upsetting her feelings, when she was not doing the same for me. DH in particular gets really angry about it and it makes me feel so conflicted because I genuinely don't think she means badly!
Now, I totally believe that she would not upset me or hurt my feelings on purpose, in fact she would be absolutely devastated if she thought she had done that (although... now I think about it isn't that more "I have to hide my own feelings so she doesn't get upset"
)
There is a lot of past trauma involved so I try and see it all with kindness, but it is exhausting sometimes and gets in the way of us having an authentic relationship. It can also be frustrating, we live abroad and I see other people's families come and visit them and they have a lovely time going and doing all kinds of things and the GPs look after the DC etc, but my mum can't really cope with the DC all the time and every outing has to be carefully planned around energy levels and so on and it's exhausting TBH.