I want to thank Nathan Field for asking me to respond to his paper, “The spiritual dimension in psychotherapeutic practice”. Doing so has enabled me to think more deeply around the many interesting points that he raises; my aim is not to express a closed or definitive point of view, but rather to open up a discussion. To do this I shall write about the thoughts I have had that were stimulated by his paper, and comment on some linked aspects of his work. I hope by showing how my thinking diverges from his to open up a dialogue with the reader, and a space for further thoughts.