A content analysis determines the most frequent themes in marriage and family counseling as evidenced by publication of articles, book reviews, and features in The Family Journal. An additional concern of the study is detecting changes in themes in the 52 issues of the journal beginning with Volume 1, Number 1, published in January 1993, and ending with Volume 13, Number 4, published in October 2005. The results and conclusions help determine the context of contemporary issues, demonstrate the evolution of the specialization, and forecast publication needs for the future. The content analysis forms a foundation for identifying publishing priorities, neglected areas of research, and insights about publishable articles.