The first section of this paper covers Erich Fromm's profound involvement with Zen Buddhism, culminating in his co-authoring the book Zen Buddhism and Psychoanalysis in 1960. It details why this was a groundbreaking endeavor, as it countered the pervasive psychoanalytic denigration of spiritual traditions, practices, and experiences. The second section describes the effect of Fromm's Zen Buddhism and Psychoanalysis on the author of this paper, as he came to clinical psychology and psychoanalysis from involvement in Indian philosophy. The third section is a case study of a spiritually advanced Hindu woman seen in intensive short-term psychoanalytic therapy in Bombay, describing the interface of the spiritual with psychoanalytic therapy. The fourth section explains what eventually led to a sea change in psychoanalytic attitudes toward spiritual traditions and practices, with a small but significant group of psychoanalysts becoming involved in one or another spiritual practice, and working with patients also so involved.