Sacramental or therapeutic?

I have just finished reading a book on spiritual direction (by Kenneth Leech) called Soul Friend. I do recommend it highly. He is man of great breadth and wisdom. And though the first 30 pages or so were hard to engage with for me, in the end I found his ideas gracious and expansive. Perhaps the most helpful issue that he clarified for me was both the connection between and the

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From R.S Thomas' Poem, 'Retired'

No longer guilty of wasting
my time, I take my place
by a lily-flower, believing
with Blake that when God comes

he comes sometimes by way
of the nostrils. My failure, perhaps,
was to have had no sense of smell
for the holiness suspiring from forked humans.