Mandatory Madness closes with an epilogue, focussed squarely on 1948, which marked the end of the British mandate, the establishment of the State of Israel, and the Palestinian nakba or catastrophe. By reconstructing a series of psychiatric encounters, which attended the end of the mandate period, the epilogue draws out the profound and violent rupture of this moment, as well as the longer processes of partition, erasure, and pathologisation which surrounded it. While the epilogue traces some of these processes into the post-1948 period, it ultimately concludes that this rupture radically diminishes the possibilities for continuing any unitary, entangled history of psychiatry within the territory of what had once been mandate Palestine.