My perception is that a title is contingent to artistic conviction and integrity - ie. believing in what your doing and why and going in strong with vision and not being unsure.
Boy, you really don't know much about the creative process. Sometimes titles can help you find your focus for a work, but they're not usually as essential as that. Lots of works get their titles changed very late in the creative process, or even after they're completed.
And there's more that affects title choices than creative concerns. When trying to come up with a title for a TV series or movie, the legal and marketing departments get involved and add hurdles to the process. The creators may have a perfectly clear vision of their creation and what they want to call it, but the network might not clear that title for use and may insist on calling it something else instead.