The Tell-Tale Heart by Edgar Allan Poe

The Tell-Tale Heart book cover
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In "The Tell-Tale Heart" how does the first paragraph prepare the readers for the conflict in the second paragraph?

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In the first paragraph, he refers to madness.  Right off the bat he defends himself against an unheard accusation of madness.  We haven't accused him of being mad, but after we read his reason in paragraph 2, we just might.  So, he jumps the gun stating, "why will you say that I am mad?...How, then, am I mad?"  Already, we are intrigued, and wondering why he is ranting about...

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