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I would make A grow with the times. If he can see premonitions of his own future, and knows they can be changed, he can see that his freak outs are going to leave him without friends in the near future. A birthday alone. Nobody at his funeral but his brother. He can strive to change things.

And logically, if he sees his death as being burned alive, or his future as paralyzed in a wheelchair, why **wouldn't** he want to change that? He should do everything he can to change it.

And finally, I can't say it is true for everyone, but in my personal experience in the military and in hospitals, most people that risk death periodically, or see horrific things almost daily, get used to it and get on with their life. Doctors and nurses don't freak out if some kid comes into the E.R. with a nail shot into their eye, or hamburger on a stretcher rolls in. They are instantly assessing the situation and thinking about what they need to do, in order to minimize ongoing damage and save the victim.

I imagine your character, realistically, would become similarly detached; they are after all "fictional" images, not necessarily guaranteed to happen.