目的：探討本土宗教民俗活動於門診美沙冬團體心理治療之臨床意涵。方法：以「激勵卡」象徵「平安符」，「平安樹」象徵「光明燈」的方式介入美沙冬門診預防再犯團體治療中，團體結束後獲得五位團體成員填具訪談同意書後接受半結構式訪談，了解成員對團體歷程及本土宗教儀式運用的感受與看法，並經由質性內容分析對資料進行整理與歸納。結果：成員認為激勵卡可以隨時帶在身上提醒自己，讓自己冷靜正面去看問題，有警惕、提醒及激勵的效果；平安樹則是一種信任的交託，把台灣的宗教文化融合在平安樹，沒有人排斥，有樂趣及參與感，互相關心鼓勵，溫暖靠近的感覺，覺得那裡有一個「靠山」。透過宗教象徵物超自然力量及不違反儒家「反求諸已」的自我努力概念的組合，透過團體互動分享及影響下，產生天人合一團體基質的力量。結論：過渡客體的概念可以解釋激勵卡及平安樹之療效，透過使用本土宗教儀式活動使心理可近性增加，提高了團體成員的準備好要改變之動機及知所求助，進而得以提昇再犯預防團體治療對美沙冬個案之療效。

Objectives: Explore the clinical implications of the Taiwanese religious ritual activities in the Methadone Outpatient Group Psychotherapy. Methods: We intervened with the “encouraging card” and the “peace tree” symbolizing the “ping-an-fu” and the “kuang-ming-teng” in the Methadone Outpatient Group Psychotherapy. Five group members who signed the semi-structured interview consent form were interviewed after the group ended. We tried to understand the members’ feelings and opinions of the group process and the application of Taiwanese religious ceremonies in the group through qualitative content analysis. Results: Members believe that the encouraging card can be carried on the body at any time to remind themselves, so that they can calmly and look at the problem positively, with the effect of vigilance, reminder and motivation; The peace tree is a trust, integrating Taiwan’s religious culture into the symbol people do not reject, have fun and participation, care about each other and encourage each other, feel warm and close, and feel support by a “mountain”. Through the combination of religious symbolic supernatural power and self-effort concept that does not violate the Confucian concept of “anti-seeking others”, through group interaction, sharing and influence, the power of the God-human group matrix is generated. Conclusion: Perhaps the concept of transitional objects could explain the therapeutic effect of encouraging cards and peace tree. Through the use of religious ritual activities ,we promoted the psychological accessibility and the motivation of the group members to be prepared to change. And it may be able to improve the efficacy of group treatment for relapse prevention in the case of Methadone addicts.