Although some commentators insist that dilemma be restricted to instances in which the alternatives to be chosen are equally unsatisfactory, their concern is misplaced; the unsatisfactoriness of the options is usually a matter of how the author presents them. What is distressing or painful about a dilemma is having to make a choice one does not want to make. The use of such adjectives as terrible, painful, and irreconcilable suggests that dilemma is losing some of its unpleasant force.