To agonize is to be more than just worried or concerned about an issue. It is an emotional struggle with the competing forces and demands of the situation and indicates an intense level of care about the right course of action. One agonizes about a problem because one knows that there are multiple, conflicting criteria and no identifiably “true” answer. One must act, even though one does not have a sense of comfort that the alternative chosen is the best that could have been achieved. It also connotes an emotional, visceral commitment to find the best solution, an enduring uncertainty as to whether it has been achieved, and the feeling that one’s reputation is on the line to achieve it. Problems that one agonizes about are fundamental to a professional identity and a sense of responsibility for living up to one’s own standards.
