What elements of this novella distort the reader's sense of reality, while at the same time make gregor samsa's situation feel very real?

Ipronounced his name, offering him at the same time my hand: he took it, smiling and saying, “we shall do very well by-and-by.” then he laid me down, and addressing bessie, charged her to be very careful that i was not disturbed during the night. having given some further directions, and intimates that he should call again the next day, he departed; to my grief: i felt so sheltered and befriended while he sat in the chair near my pillow… (chapter 3) this passage, in which jane first meets the doctor, is an example of