Complex post-traumatic stress disorder (CPTSD) refers to the complex psychological and psychosocial sequelae caused by prolonged interpersonal abuse. Contemporary approaches to CPTSD are dominated by individualized psychological interventions that are long term and costly. However, accumulating evidence indicates that CPTSD is a high prevalence mental illness implicated in significant social problems, with a pattern of lateral and intergenerational transmission that impacts on already disadvantaged communities. Consequently, there have been calls for a public health model for the prevention of CPSTD; however, there has been a lack of clarity as to what this should entail. This article argues that empirical and conceptual shifts framing CPTSD as a shame disorder offers new preventative opportunities. The article presents a series of interconnected literature reviews including a review of available prevalence data on CPTSD, the public health implications of CPTSD, the role of shame and humiliation in CPTSD, and current scholarship on dignity in public policy and professional practice. Drawing on these reviews, this article develops a social ecological model of primary prevention to CPTSD with a focus on the reduction of shame and the promotion of dignity at the relational, community, institutional, and macrolevel. A broad overview of this model is provided with examples of preventative programs and interventions. While the epidemiology of CPTSD is still emerging, this article argues that this model provides the conceptual foundations necessary for the coordination of preventative interventions necessary to reduce to the risk and prevalence of CPSTD.

复杂的创伤后应激障碍（CPTSD）是指长期人际虐待导致的复杂心理和社会心理后遗症。当代治疗 CPTSD 的方法主要是长期且成本高昂的个体化心理干预。然而，越来越多的证据表明，CPTSD 是一种高患病率的精神疾病，与重大社会问题有关，具有横向和代际传播的模式，对已经处于不利地位的社区产生影响。因此，有人呼吁建立预防 CPSTD 的公共卫生模式；然而，对于这应该包括什么，一直缺乏明确性。本文认为，将 CPTSD 定义为羞耻症的经验和概念转变提供了新的预防机会。本文介绍了一系列相互关联的文献回顾，包括回顾现有的 CPTSD 患病率数据、CPTSD 对公共卫生的影响、羞耻和羞辱在 CPTSD 中的作用，以及当前关于公共政策和专业实践中尊严的学术研究。根据这些评论，本文开发了一个 CPTSD 一级预防的社会生态模型，重点是在关系、社区、制度和宏观层面上减少羞耻感和促进尊严。该模型的广泛概述提供了预防计划和干预措施的示例。虽然 CPTSD 的流行病学仍在出现，