The recent shift in the helping professions to the implementation of evidenced-based practice (EBP) presents challenges to the field of rehabilitation counseling, most notably in the areas of integrating rehabilitation philosophy, ethics, and the relationship between research and practice. A dichotomy between the history and the future of the field within EBP has created tension for rehabilitation counseling researchers and practitioners. Rehabilitation philosophy, ethics and practice as well as the medically based framework of EBP and how this may be contributing to dichotomous perceptions within the field will be examined. A more robust interpretive framework is presented to assist in the reconciliation of this dichotomy in order to promote a more dialectic interpretation of EBP.