I cannot help it, the Devil may appear in my shap.
In this quote, the nurse is was showing guilt for knowingly siding with the "devil". I think that this tells us that the nurse was already in a position where no matter what she said, she was guilty, so she needed to, in a way, make it seem like she was not fully responsible for her actions (that she did not commit). And I think this can relate to causality because it was already decided by the town that she was guilty, she was put in a position where she needed to defend herself as if she WAS guilty.