Dilemma in The Tell-Tale Heart.
There could be many different answers to this question. I for one, think that the dilemna is the narrator. He insists he isn't mad, that his disease has harkened his senses. The reader, of course, thinks they know that he is mad...
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When I teaching my students "The Tell-Tale Heart", we discuss the guilt the narrator feels over killing the old man. He fully admits in the beginning of the story that is fond of the old man. Also, the narrator's own terror and awe is related to his obsession with time. He speaks of spending hours at the old man's door, talks about the the time it took to bury the old man. He is mad in his obsession with time and the eye, and guilty becuase of the the murder. There are in essence, two dilemmas.