"I always felt she understood Katharine's painful dilemma acutely and passionately."

For them, it meant being spared an especially painful dilemma.

For at least some parents, the program presents a painful dilemma.

And Medicaid should be reformed so as to spare you this painful dilemma.

Finally, conflict highlights a painful dilemma facing managers who chair meetings.

Dear lady, I have conceived a strategy that, if all goes well, will resolve this painful dilemma for you.

Mr. Gregg's admission that he learned of the resupply operation in mid-1986 creates a painful dilemma.

The painful ethical dilemmas in which he was trapped were multiplying.

Conservators at historical museums face a painful dilemma.