However intuitively appealing the notion is that therapists learn from clinical experience (presumably both successes and failures), whether clinical judgment actually is enhanced by experience remains a matter on which there continues to be disagreement. The author discusses the meta-analysis of P.M. Spengler et al. that demonstrates a supportive relationship between experience and judgment accuracy, while noting that experience comes in many forms, varies in breadth, have differential effects depending on type of judgment, and may be impacted by research design. Wondering how to consider these findings within the context of a contextual, rather than medical, model of therapeutic change, the author asks, if matching specific treatments and interventions to specific types of problems is no longer relevant within counseling psychology, then to what extent should concern over the accuracy of clinical judgments be a relevant issue for practitioners?