Western industries that exist to provide “professional helping,” such as social work and psychotherapy, typically see themselves as representing a secular, scientific, and broadly progressive approach to care. The academic side of these industries, operating out of universities and research centers, are designed to be universal in scope, generating truths about human subjects that apply across boundaries of time and space. However, the universalism of Western systems of care is rooted in a particular historical moment, one that coincided with European and settler-colonial expansion around the globe. In this chapter, Berry picks up her critique of Western “helping” professions by arguing that the universalist elements of Western care are rooted in specifically European and Christian worldviews that sought to erase and replace Indigenous traditions of knowledge and practice, especially on the African continent. Berry goes on to argue that this history of cultural domination continues to shape the approaches to care offered by Western psychotherapy.