Answer:
The answer is Option E: The insane live in a reality of their own.
Explanation:
This passage relates how the narrator in the “The Tell-Tale Heart” sees his or her own hypersensitivity as proof of their sanity. The narrator cannot recognize their own madness because they are able to tell of the murder in a collected way, and they can remember all the details and they use the coherence of the narration as defense of their own sanity plea. However, what makes it clear the narrator is insane and detached from reality is that in trying to prove they are sane, they unwittingly lay out every detail of the murder with admission of guilt, so it shows that they are detached from reality and they betray the madness the narrator themselves wants to deny.