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My dilemma: My friend is in the hospital. I really do not enjoy going to hospitals. This being the case, it would be selfish of me not to go, for my going may make my friend feel better. On the other hand, if I don't go, I would never hear the end of it from some of my friends. That being the case, it would be selfish of me to go for my desire is not to solely to help but also to avoid trouble.
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Ask yourself what you feel the primary motivation is: Do you to help your friend or do you want to avoid trouble? Pick one and leave it at that.
The motivations behind all actions can be reduced to selfish ones if you try hard enough; it's unreasonable to do so though.
EDIT: comprehensibility issues