In the beginning of the story "The Tell-Tale Heart" the narrator is trying to let us know that he is in control and not crazy. He is being very precise in his description of his reasoning that he had to kill the old man.
The reader begins to feels the tension increasing through the story through the repetition of words and the increased frequency of the use of some words as well as their spacing in the story. The reader's mental disintegration is evidenced by his constant discussion about the man's eye and he effect it has on the narrator.
After the narrator kills the man, he is clam for a brief period but begins hearing the dead man's heartbeat. Either guilt or the schizophrenic brain is hearing that which is not real to the policemen who visit. The reader feels the insane intensity and stress of the man as he tries to ignore the sound of the heartbeat. At the same time the policemen demonstrate to the reader that they do not hear anything.
When the man can no longer handle the situation he reveals everything to the police. He has totally mentally deteriorated.
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