Quinn is acting like a douche because he thinks he's a caricature of his former self. He doesn't want Carrie to waste her time on him because he thinks he won't get any better, but at the same time he doesn't have the guts to cut her visits for good because the feelings are still there.
What I don't get is Carrie visiting him every day and caring that much. If she hadn't read the letter, I would say she's visiting because she feels responsible for his current state, out of pity. Maybe knowing about his feelings made her realize she also feels something for him. She's never been as patient as she is with him, so there must be a reason behind her behaviour, one we still don't know.
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