TY - JOUR T1 - How to distinguish between neglect and deprivational abuse JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 105 LP - 107 DO - 10.1136/adc.88.2.105 VL - 88 IS - 2 AU - M H Golden AU - M P Samuels AU - D P Southall Y1 - 2003/02/01 UR - http://adc.bmj.com/content/88/2/105.abstract N2 - Neglect is a major cause of inadequate childcare in all societies and should be differentiated from abuse. “Neglect” is defined here, as the “neglectful” failure to supply the needs of the child, including emotional needs. It does not include the deliberate and malicious withholding of needs, which is a form of abuse. Neglect has its roots in ignorance of a child’s needs and competing priorities; it is passive and usually sustained. The carer is without motive and unaware of the damage being caused. Malnutrition is a prime example of neglect; the stigma associated with the term abuse should never be applied to the poor struggling or uneducated mother whose child, that she loves dearly, becomes malnourished. Education of the mother and society and relief from the vicissitudes of poverty are required to alleviate most neglect of the world’s children. ER -