I think the same problem applies to "Berserk" and "Coward", honestly.
Thinking way outside the ADOM realm here, but what would probably be more accurate would be to have tactics only go from Very Aggressive to Very Defensive (something which you can imagine the PC reasonably adjusting). Then introduce a new "Morale" variable. Say, the PC gains a bit of morale every time they make a kill, lose a bit every time they take damage. Other effects, like sickness, poison, critical hits, critically low HP, etc. could also affect morale. If you have very high morale, you gain some bonuses, maybe to attack stats or to luck. If you have low morale, you suffer some penalties, but with critically low morale, you go into panic mode that would give coward speed bursts. Or, alternatively, if you do panic + very aggressive tactics, then your PC goes into blind rage/berserk, where their DV is reduced to zero and their walking speed is decreased, but they gain some damage bonuses. Morale would slowly tend towards neutral as time passes.