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I think that the significance of the behavior of Tituba and Sarah Good is extremely important in the Fourth Act. On one hand, their madness mirrors Parris', something to be revealed later on in the act. It is significant that those who are condemned and those who did the condemning are suffering the same type of fate. This helps to bring out the idea that the sense of evil and malevolence that sentenced people like Tituba and Sarah Good are coming back to haunt everyone. The "demonization" that started the narrative has now effectively spread to everyone, and the madness that both prisoners are experiencing as well as significant character who initiated the process is highly significant.
At the same time, the ravings of both women might also be a statement about the narrow and pedantic setting that drove them and everyone else insane. Tituba and Sarah Good are explicating the complex nature of the devil in their rantings. This is something denied and negated in the simplistically reductive atmosphere of Salem. Their articulations are bringing to light that the pursuit of that which is narrowly defined can have difficult results on those who have to live through such conditions. In this, the behavior of both women is as much a statement about Salem of the time period as well as their own predicament within it.
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