In this final chapter, we offer some comparative analysis and tentative concluding comments. We begin with an examination of different aspects of the law and practice of advance directives (ADs) in these jurisdictions, identifying similarities and trends. With this summary of the various connections between these jurisdictions, we then offer some broader reflections on two key features common to Asian jurisdictions, the role of religion and the role of the family. We conclude with a critical examination of this emerging picture of ADs in Asia, arguing that these insights suggest that distinctive patterns of “generative accommodation” are observable as a way of aligning international consensus with localised traditions and expectations in a more nuanced account of the meeting ground between the East and the West.

In our rejoinder to the excellent commentaries provided by Macfie, Noose, and Gorrondona (This Volume) and Davies and Thompson (This Volume), we discuss three key directions for research and clinical work that emerge from our chapter on environmental and sociocultural influences on personality disorders. First, it is critical to recognize the importance of early caregiving environments and family processes in the etiology of personality pathology. Second, identifying transactional models that integrate biological, psychological and sociocultural influences may move the field towards a more holistic and multifaceted understanding of the underpinnings of personality pathology. Third and finally, expanding the use of dimensional models of personality pathology may contextualize these transactional relationships and facilitate more rapid advances in our understanding and conceptualizations of (mal)adaptive expressions of personality traits. Dimensional models may further facilitate consideration of socioeconomic, cultural and geopolitical influences in evaluating and defining the maladaptiveness of specific traits and behaviors. Increasing our focus on contextual, environmental, and sociocultural influences in research design, assessment, and case conceptualization will improve personality research and clinical care.