All 3 Uses

dilemma
in
Staying Fat for Sarah Byrnes
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At the end of last class I asked each of you to be ready with a subject for your class presentation—something that addresses a contemporary social or psychological or spiritual dilemma.†
Chpt 5

dilemma = a situation in which a difficult choice must be made between imperfect alternatives
All I require is that you be willing to look at your subject from a personal perspective, that is, how the dilemma affects you.†
Chpt 5 *
I mean, I know some people who could help me with Sarah Byrnes's dilemma—Lemry for one, my mother for another—but I promised not to tell.†
Chpt 10

Definitions:

(1) (dilemma)
a situation in which a difficult choice must be made between imperfect alternatives
(2) (meaning too rare to warrant focus)