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It's very complicated, but it's not as we could map out all interests, motivations and interactions and come up with optimal arrangements that will please everyone.

What people feel factors in what some call "moral autonomy".
The less you're capable of feeling and of being influenced by your own feelings, the less you are able to be held responsible/accountable for your actions.
This doesn't mean you get a scot free card, it means you are less in charge.
What is taking over instead? An external directive: ideology, orders, re-programming, coercion?

Sociopaths don't feel empathy, but they do feel that they have something to gain or lose and act accordingly. If you could make someone feel more or less empathy, or more or less anger, they would act differently.

What's the point in discussing affects? It depends on whether it feels good to help others, whether it feels bad not to help em. Rarely do people carefully measure cost-benefit and possible outcomes, even businesses and governments fail at this.

"Anyway, all that is lead up to the questions: who have you helped?"
Let's say I have some people in mind.
"Did you realize that you were helping when it happened?"
Yes, it was very deliberate and concrete.
"Did the person you were helping appreciate it? At the time, or later?"
Yes they did, precisely at that time and in exact proportion to the help received.
"What made (or makes) you decide to act (or refrain from acting)?"
I acted on reflex, on impulse, on a whim, out of a curiosity.
"Was there something about the context that made it work or not work?"
It worked because it was simple and straightforward and there were no hidden expectations, nor hidden strings attached.
"Are there particularly anarchist ways of helping people? What makes them that? What was the impact of you on the intervention?"
It was anarchist in that I acted on my own initiative, helped in the degree and manner that I felt appropriate and I did not overstay my welcome, or overstepped any personal boundaries. The impacts in the situations I'm imagining minimal.
"What would you do differently, if anything?"
I wouldn't do anything differently except having done some of these things sooner if I had known I could, or how to do them, but I didn't then. Sometimes you miss windows of opportunity you can only see in hindsight.