The answer is conflict with society
I just answered it myself, it was correct <3
c. Conflict with society
Alvarez describes people lost between two worlds by means of transculture. The author describes it in the lights of her own experience both in Dominican Republic and the United States and shares the difficulty of her people's adaptation when their past haunts them.
The excerpts describes this horrific past of dictator Trujilo's chase and his secret police, SIM. It is an expression of a conflict with an unbearable society. The correct option is a conflict with society.