This study uses OH Card Therapy (full name: Open-ended Projective Card Therapy, hereafter referred to as OH Card Therapy) as a key emotional projection tool in art psychotherapy. Characterized by openness and symbolism, it offers new possibilities for the integration of AI technology. The research begins with a case study centered on the "Qixinhang (Guangzhou Qinglan Artificial Intelligence Technology Co., Ltd.) AI Visual Healing System," exploring the user experience of generative AI intervention in OH Card Therapy and identifying issues encountered during use. Firstly, this study is grounded in the theoretical framework of art psychotherapy, with OH Card Therapy as the methodological basis, selecting the "Qixinhang AI Visual Healing System" in China as the subject of investigation. Based on the above theories and case, through the researcher’s systematic usage experience and qualitative textual analysis, the study analyzes and reveals the operational mechanisms and psychological processes of AI intervention within the fixed card image library and word bank framework. It also examines the system’s features and problems in guiding prompts, card interpretation, and conclusion generation, proposing practical optimization suggestions and offering a theoretical paradigm for the integration of art psychotherapy and digital technology.The findings indicate that generative AI can not only expand the visual symbolism of OH Cards and externalize individual emotions with greater accuracy but also introduce new issues such as image concretization and interpretive dependency. The paper concludes with an analysis of the system’s advantages and existing problems, emphasizing that generative AI should serve as an aid rather than a replacement interpreter. The research provides a theoretical basis and methodological insights for the digital transformation of art psychotherapy and offers considerations for the ethical and cultural construction of integrating domestic generative AI into art psychological service systems in China.

本研究以OH卡疗法（全称为开放式投射心理卡牌疗法Open-ended Projective Card Therapy，以下统称为OH卡疗法）作为艺术心理治疗中关键的情绪投射性工具，具有开放性与象征性特征，为AI技术介入提供了新的可能性。本研究始于“栖心港（广州青蓝人工智能科技有限公司）·AI视觉疗愈系统”为中心的研究案例，探讨生成式AI介入OH卡疗法的使用体验及在使用中发现的问题。首先，本研究以艺术心理治疗为理论背景，以OH 卡疗法为方法基础，选取中国“栖心港·AI视觉疗愈系统”为考察对象。基于以上理论及案例，通过研究者自身的系统化使用体验与质性文本分析，分析并揭示人工智能在固定卡牌图库与字库框架下介入OH卡疗法的运作方式与心理机制，梳理该系统在引导语设置、卡牌解释与结论生成等环节的特点与问题，进而提出具有实践参考意义的优化建议，并为艺术心理治疗与数字技术融合提供一个可讨论的理论范式。研究发现，生成式AI不仅能扩展OH卡的视觉象征，外化个体化情绪的精确性，同时也带来了图像确定化、解释依赖性等新问题。本文最终分析该系统的优点及现存的问题，重点对强调生成式AI应作为辅助，而非替代性解释者。研究成果为艺术心理治疗的数字化转型提供了理论依据与方法启示，并为中国本土生成式AI融入艺术心理服务系统的伦理与文化建构提供了思考方向。