영아대상 방임의 실태 및 발생요인에 관한 연구

장화정 ( Hwa Jung Jang ),윤은영 ( Eun Young Yoon ),박은혜 ( Eun Hye Park ) 대한아동복지학회 2013 아동복지연구 Vol.11 No.3

To organize preventive measures for infant neglect, this research compared neglect with other types of child abuse, and analysed the various causes of infant neglect in case studies of infant abuse that were collected in 2011 by the child protective agencies in South Korea. It was found that infant neglect was a common occurrence in households. The number of male infants neglected was higher than that of female infants, with infants younger than one year old the most neglected, followed by infants younger than two years old. There appeared to be no distinguishing characteristics for the victimized infants. Next, the number of male perpetrators was higher than that of female perpetrators, and most of the perpetrators of infant neglect were mostly likely to be aged between twenty and thirty years old. In addition, the greater per cent of perpetrators were unemployed and earned less than $1,500 a month. An examination of some causes of infant neglect indicated that the income and characteristics of the perpetrators were significant factors -the perpetrators with economic difficulties were more likely to neglect their infants. As for some factors of the victimized infants, age, family types, and relationship with the perpetrators affected whether neglect would occur or not. The younger the infants were, the higher the chances of them to be neglected. Also, infant neglect occurred more frequently in single-parent households. There was a higher possibility for infants to be neglected by their biological parents. According to the results, intervention by the government and local communities would be strongly advised in cases involving high-risk families. Furthermore, considering that the victimized infants were not likely to be detected by others, the construction of an early detection system for infant neglect as a joint initiative between child protective agencies and Dreamstart should be encouraged.

Risk Factor of Visuospatial Neglect: A Study of Association Between Visuospatial Neglect and Anemia

김호정,윤태식,한수정 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.5

Objective To investigate the correlation between visuospatial neglect and anemia in patients with right cerebral infarction, as well as to identify the risk factor of neglect and furnish preliminary data on rehabilitation management.Methods The line bisection test and Albert test were conducted on subjects with right cerebral infarction in order to analyze neglect severity. Multiple linear regression analysis was conducted to investigate correlation between neglect severity and hemoglobin and hematocrit level. Logistic regression analysis was applied to identify the risk factor of neglect.Results Visuospatial neglect was observed in 33 subjects out of 124. Hemoglobin and hematocrit were not directly correlated with visuospatial neglect severity, whereas infarct size was directly correlated. Subjects with visuospatial neglect were characterized by a large infarct size, a low score in the Mini-Mental State Examination and long hospital stay.Conclusion In this study, visuospatial neglect was found to be uncorrelated with anemia. It implies that emphasis should be placed on the early detection of anemia and neglect in patients with left hemiplegia, the formulation of respective therapeutic plans and improvement of prognosis. The study found that the possibility of a visuospatial neglect occurrence increases with infarct size. In this regard, it is required that visuospatial neglect was detected and treated in the earliest possible stage, notwithstanding the difficulty that lies in the precise measurement of the severity.

The different association of allocentric and egocentric neglect with dorsal and ventral pathways : A case report

Jang, Sung Ho,Jang, Woo Hyuk Williams & Wilkins Co 2018 Medicine Vol.97 No.37

<P><B>Abstract</B></P><P><B>Rationale:</B></P><P>Egocentric neglect is characterized by responses missing on the contralateral side with respect to the viewer, while allocentric neglect is characterized in responses missing on the contralateral side with respect to the object . However, little has been reported about the neural tracts associated with egocentric and allocentric neglect. We investigated which neural tracts were involved in two types of neglect (egocentric and allocentric) in a stroke patient who showed allocentric neglect by using the Apple Cancellation test, a specialized test to distinguish between egocentric and allocentric neglect.</P><P><B>Patient concerns:</B></P><P>He showed good cognitive function but presented with severe neglect on the left side (A 42-year-old, right-handed male patient). He was unable to undergo even the pencil and paper test for evaluation of the severity of neglect.</P><P><B>Diagnoses:</B></P><P>He was diagnosed as spontaneous intracerebral hemorrhage at the right basal ganglia and underwent conservative management at the neurosurgery department of a university hospital.</P><P><B>Interventions:</B></P><P>Two weeks after onset, he began rehabilitation at the rehabilitation department of the same university hospital. During a seven month rehabilitation, the patient showed significant improvement of his severe left neglect.</P><P><B>Outcomes:</B></P><P>We used the Apple Cancellation test to distinguish between egocentric and allocentric neglect; the results failed to reveal egocentric neglect, however, they did reveal severe allocentric neglect. In addition, on diffusion tensor tractography (DTT) at 2 weeks after onset, the right superior longitudinal fasciculus (SLF) showed partial injury and narrowing in the parietal lobe compared to that of the left SLF. In addition, the right inferior fronto-occipital fasciculus (IFOF) was not reconstructed. By contrast, on 7-month post-onset DTT, the right SLF revealed elongation and thickening in the parietal lobe that approached similarity to that for the left SLF. However, the right IFOF was still not reconstructed.</P><P><B>Lessons:</B></P><P>The associations of egocentric neglect with the dorsal pathway (SLF) and the association of allocentric neglect with the ventral pathway (IFOF) in the right hemisphere were demonstrated in a stroke patient. It appears that DTT can be helpful in demonstrating both the affected pathway and the neglect type in patients with neglect.</P>

초기 청소년기 방임 수준에 따른 학교폭력 피해에 관한 연구: 도움요청대상 유무를 중심으로

김준범,최윤희 한국학교사회복지학회 2020 학교사회복지 Vol.0 No.49

Child neglect and school victimization have been on the rise among early adolescents. Between child neglect and school victimization, help-seeking may play an important role as a moderator. However, less is known regarding the relationship between child neglect, school victimization and help-seeking behavior of the early adolescents. The first aim of this study is to classify the neglect-experienced group according to the neglect risk level. The second aim is to verify the risk level of school victimization among each neglect-experienced group. Lastly, this study identifies the risk of school victimization among each neglect-experienced group, and all cases were measured whether they had sought for an internal/external help or not. The main findings are as follows: First, the level of desolation damage was classified into three groups, “Low-Level neglected group(79.3%, n=5,116)”, “Medium-level neglected group(17.0, n=1,100)”, and “High-Level neglected group(3.7%, n=231)”. Second, the degree of the school victimization among the high-level neglected group was 4.77 times higher than the low-level neglected group, and the medium-level neglected group was 2.39 times higher than the low-level neglected group. The risk level of school violence among adolescents who responded that they had no help resources was 1.41 times higher than those who had any helpful resources. Third, all neglected and no help resources group showed higher school violence risk level compared to low-neglected groups who had help resources. Especially, the risk of the high-level neglected group who had no help resources was 5.30 times higher than the those of low-neglected groups who had any helpful resources. Policy and practice implications were suggested based on these results.

방임유형별 시간적 변화추이와 아동 정서에 미치는 종단적 영향

배화옥,염동문 한국아동권리학회 2023 아동과 권리 Vol.27 No.3

Objectives: The main objectives of this study are to examine time trajectories of neglect types and emotions of children during the four years, differences in neglect levels according to child and family characteristics, and the longitudinal impact of neglect on children's emotions. Methods: This study utilized the third, fifth, sixth, and seventh waves of the 4th Year Elementary School Panel data from the Korea Children and Youth Panel Survey 2010(KCYPS). A total of 1,765 children were the study sample who responded to all four questions of neglect and two questions of emotions at the third, fifth, sixth, and seventh waves of the KCYPS2010 data. Results: Emotional neglect showed the highest level among the four neglect types, contrary to medical neglect, which kept the lowest level during the four years. Time trajectory patterns of the four neglect types differed during the four years. Depression showed an increasing trend, but withdrawal decreased from middle school. Time trajectories between neglect and emotion showed significant correlations. Parents' educational levels and household income were significantly associated with all four neglect types. Analyses using the latent growth modeling found that initial levels of depression and withdrawal of children significantly increased along with the levels of four neglect types. The changing rate of neglect types also significantly predicted the changing rate of children's emotions. Conclusions: This study found that continuous neglect has a cumulative negative impact on children's emotions. Thus it is necessary to prevent neglect to suppress occurring neglect. We suggested preventive programs based on the study results. 연구목적: 본 연구의 목적은 방임유형별 시간적 변화추이와 아동과 가족 특성에 따라 방임의 수준 차이를 확인하고 방임의 변화추이가 아동 정서에 미치는 종단적 영향을 분석하려는 것이다. 방법: 한국아동․청소년패널조사 자료 가운데 KCYPS2010 초4 패널자료를 활용하였으며, 3차, 5차, 6차, 7차 연도에 방임 4개 문항에 결측치가 없는 1,765명이 분석 대상이다. 방임하위유형은 자료에 구성된 문항을 활용해 정서적 방임, 교육적 방임, 물리적 방임, 의료적 방임으로 분류하였다. 아동 정서로는 우울과 위축을 선정하였다. 결과: 정서적 방임이 가장 높은 수준을 보였고 의료적 방임이 가장 낮았다. 방임 4개 유형별 시간적 변화추이에는 차이가 나타났다. 아동의 정서 가운데 우울보다 위축 수준이 높았다. 우울은 상승 추이를 보였으나 위축은 중학교 때 상승하였다가 하강하였다. 부 학력, 모 학력, 가구소득이 공통적으로 방임 수준에 차이를 만들었다. 잠재성장모형 분석 결과, 방임 4개 유형 모두 초기치 수준이 높으면 아동의 정서 초기치 수준이 높았으며, 방임이 변화하는 정도에 따라 아동 정서가 변화하는 정도도 달라졌다. 결론: 방임이 지속되면 아동의 정서에 미치는 부정적인 영향이 누적될 수 있음을 확인할 수 있었다. 이를 차단하기 위하여 방임의 발생을 억제하는 것이 필요하며, 연구 결과를 바탕으로 방임을 예방하기 위한 정책적 및 실천적 방안을 제언하였다.

뇌졸중 환자에서 편측 공간 무시가 체간 조절에 미치는 영향

임길병,김덕영,이경태 대한재활의학회 2009 Annals of Rehabilitation Medicine Vol.33 No.4

Objective: To evaluate the influence of hemispatial neglect on trunk balance control and functional ability in stroke patients. Method: Fourty eight inpatients exhibiting (n=25) or not exhibiting (n=23) hemispatial neglect following strokes within 6 months were matched for age and sex. Hemispatial neglect was assessed with a line bisection test (LBT) and a baking tray task test (BTT). Static and dynamic trunk balance control was assessed using a Balance Master System. Static balance control was measured with a weight bearing test and a Modified Clinical Sensory Interaction Balance Test (mCSIBT). Dynamic balance control was measured using a Limit of Stability (LOS) test and a rhythmic weight shift (RWS) test. A Functional Independence Measure (FIM) for functional ability and the Brunnstrom stage assessment for motor recovery were also recorded. Results: There was no statistical difference in the achievement of static trunk balance control between neglect and non-neglect patients. Where dynamic balance control was concerned, both LOS and RWS tests showed a deterioration in neglect patients compared to non-neglect patients (p<0.05). The Brunnstrom stage correlated significantly with dynamic balance control only in non-neglect patients (p<0.05) and the FIM score of neglect patients was significantly lower than that of non-neglect patients (p<0.05). Conclusion: Stroke patients with hemispatial neglect displayed pronounced dynamic trunk instability and functional dependency compared to patients without it. However, the recovery of dynamic balance control may not relate to the degree of motor recovery in stroke patients with hemispatial neglect. Objective: To evaluate the influence of hemispatial neglect on trunk balance control and functional ability in stroke patients. Method: Fourty eight inpatients exhibiting (n=25) or not exhibiting (n=23) hemispatial neglect following strokes within 6 months were matched for age and sex. Hemispatial neglect was assessed with a line bisection test (LBT) and a baking tray task test (BTT). Static and dynamic trunk balance control was assessed using a Balance Master System. Static balance control was measured with a weight bearing test and a Modified Clinical Sensory Interaction Balance Test (mCSIBT). Dynamic balance control was measured using a Limit of Stability (LOS) test and a rhythmic weight shift (RWS) test. A Functional Independence Measure (FIM) for functional ability and the Brunnstrom stage assessment for motor recovery were also recorded. Results: There was no statistical difference in the achievement of static trunk balance control between neglect and non-neglect patients. Where dynamic balance control was concerned, both LOS and RWS tests showed a deterioration in neglect patients compared to non-neglect patients (p<0.05). The Brunnstrom stage correlated significantly with dynamic balance control only in non-neglect patients (p<0.05) and the FIM score of neglect patients was significantly lower than that of non-neglect patients (p<0.05). Conclusion: Stroke patients with hemispatial neglect displayed pronounced dynamic trunk instability and functional dependency compared to patients without it. However, the recovery of dynamic balance control may not relate to the degree of motor recovery in stroke patients with hemispatial neglect.

어머니의 아동에 대한 치과의료 방임과 그 연관요인

주현정 ( Hyun-jeong Ju ),이흥수 ( Heung-soo Lee ) 대한예방치과·구강보건학회 2018 大韓口腔保健學會誌 Vol.42 No.3

Objectives: The purpose of this study was to determine the level of dental neglect in mothers and their children and to analyze the factors that were associated with it. Methods: The subjects included in this study were 431 mothers with preschool children. The participants were given a self-report questionnaire for the study. The survey collected data on sociodemographic characteristics and dental neglect. For dental neglect, the Adelaide dental neglect scale was used for measurement. Results: The percentage of mothers with a high level (≥15 points) of dental neglect was 52.7%. In terms of dental neglect in mothers and their children, 37.1% showed feeding of snacks before and after meals, followed by postponement of dental treatment for mothers at 22.8%, and dental treatment postponed due to children 21.7%. The demographic factors affecting the mother’s dental neglect were found to be age of the mother, whether the mother was employed or not, and household income. The lower was the age of the mother, the higher was the level of dental neglect. In addition, when mothers had jobs, dental neglect was high, and the lower was the household income, the higher was the level of dental neglect. Conclusions: The level of dental neglect for mothers and their children was found to be high. Thus, this should be considered in the design of national oral health promotion strategies for children. In addition, the importance of dental neglect should be emphasized.

한국에 있어서 아동학대범죄의 처리절차에 관한 고찰 -「아동학대범죄의 처벌 등에 관한 특례법」을 중심으로 -

강동욱 한국소년정책학회 2014 少年保護硏究 Vol.26 No.-

Despite the severity of child abuse in Korea, issues on child abuse have been relatively neglected in the shadow of other social issues. Due to the fact that the most of child abusers (“abuser”) are child’s parents or guardians, abusing acts have been considered mere domestic issues or child discipline issues as child abuse and neglect were interpreted in the view of child welfare and focused on protections of original family. Minimal interventions of national justice system and marginal criminal punishment on abusers caused by above reasons are often pointed as causes for the severity of child abuse and neglect. Governments have not made any noticeable efforts to correct the situations, and many children died of abuse and neglect in recent years. News on such inexcusable deaths, which have spread to general public through media, were an renewed awakening on severity of child abuse and neglect to the Korean society. As negative public sentiments turned to blame government’s indifference to the issue, public opinions demanded enactment of more stringent law that can impose more severe punitive measures and can entice government’s proactive interventions to prevent harms from abusers and to protect victimized children. In response to such public opinion, the National Assembly of Korea has legislated 「Act on Special Cases Concerning Punishments etc. of Crimes of Child Abuse and Neglect」 (Law Number 12341 enacted on January 28, 2014) on December 31, 2013 and additionally amended Child Welfare Act (Law Number 12361 partially amended on January 28, 2014.) The said acts are waiting to be implemented on September 29, 2014. The Act consists of 6 main articles and 64 supplementary provisions. The Act clarified that child abuse and neglect is a criminally culpable crime by utilizing a term, “Crimes of Child Abuse and Neglect.” (Article 2.4) On the other hand, the Act stipulates numerous special cases on criminal procedures in order for ‘protection of abused child.’ Some improvements were especially promising for prompt and appropriate disposal of child abuse cases and protection of abused child. Such promising improvements include expansive introduction of protective measures for abused child and prompt severance of abused child and abuser by intervention of child protection agencies and law enforcement officers at the initial stage of child abuse. The Act has some rooms to improve on following areas. First, because protection of original family is emphasized in children welfare, procedures to reflect abused child’s will must be established in order to protect child’s human rights even if required actions are protective measures for abused child. Second, the Act must be managed to focus on correction and reformation of abuser’s characters and behaviors rather than imposition of criminal punitive measures. Lastly, because authorities of child protection agencies have been significantly expanded in investigation and intervention of child abuse and neglect, systems for effective operations and prevention of abuse of authorities must be established. 우리나라에서는 아동학대의 심각성에 불구하고 그동안 다른 사회적 이슈에 매몰되어 아동학대문제에 대해서는 상대적으로 소홀히다루어 온 것이 사실이다. 더구나 학대행위자가 대부분 피해아동의부모나 보호자이기 때문에 아동학대문제도 아동복지적 관점에서 접근하여 ‘원가정보호’라고 하는 목적을 중시한 나머지 학대행위는 가정 내부의 문제 또는 아동훈육의 문제로 취급하면서 이에 대한 가급적 국가의 개입을 자제하고, 학대행위자에 대해 형사처벌을 하는경우에도 비교적 경미하게 처벌하여 온 것도 아동학대로 인한 피해가 심각하게 된 이유로 지적되고 있다. 하지만 최근 들어 학대로 인해 피해아동이 사망하는 사건들이 다수 발생하고, 이것이 언론을 통해 일반인에게 널리 알려지면서 우리 사회에서 아동학대에 대한 정부의 소홀한 대응에 대해 사회적 여론이 악화되면서 학대행위자의강력한 처벌을 할 수 있고, 아동학대의 발생시에 공적 기관이 적극적으로 개입하여 학대피해를 방지하고 피해아동을 보호할 수 있는입법이 요청되었다. 이에 국회에서는 2013년 12월 31일 「아동학대범죄의 처벌 등에 관한 특례법」(법률 제12341호, 2014.1.28. 제정)을의결하고, 이에 부수하여 「아동복지법」을 개정(법률 제12361호,2014.1.28. 일부개정)하였으며, 이들 법률은 2014년 9월 29일 시행을앞두고 있다. 동법은 총 6장 전문 64개조와 부칙으로 되어 있으며, ‘아동학대범죄’(제2조 제4호)라는 개념을 사용하여 아동학대가 ‘범죄’이며, 따라서 형사처벌의 대상이 됨을 명확하게 하고, 다른 한편에서는 ‘피해아동의 보호’를 위해 아동학대사건의 처리를 위한 사법절차에 있어서 여러 가지 특례를 규정하고 있다. 따라서 아동학대범죄사건의 처리에 있어서 피해아동의 보호를 위한 절차를 대폭 도입하고, 아동학대가 발생한 초기에 아동보호전문기관과 사법경찰관리가 개입하여학대행위자와 피해아동을 분리할 수 있는 조치를 마련한 것은 피해아동의 보호는 물론, 사건의 신속하고 올바른 처리를 위해서 매우적절하다. 그러나 아동복지에 있어서 원가정보호가 강조되는 만큼 피해아동의 보호절차라고 하더라도 인권의 주체로서의 아동의 권리를 보호하기 위하여 피해아동의 의사를 반영하는 절차를 제도화하고, 학대행위자에 대한 형사처벌 보다는 성행교정에 주력하도록 동법을 운용하여야 할 것이며, 아동학대에 대한 조사와 개입에 있어서아동보호전문기관의 권한이 확대된 만큼 효율적인 운영과 그 권한의 남용과 오용이 발생하지 않도록 제도를 보완할 것이 요구된다.

아동이 지각한 부모의 방임 및 학대 양육태도가 사회적 위축 및 우울에 미치는 영향에서 자아탄력성의 매개효과

리우잉시(Liu YingXi) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.18

본 연구는 아동이 지각한 부모의 방임과 학대 양육태도가 아동의 사회적 위축과 우울에 미치는 영향에서 자아탄력성의 매개 효과를 보고자 하였다. 이를 위해 한국청소년정책연구원의 한국아동·청소년패널조사 자료에서 2013년도 초등학교 1학년 패널 자료의 2009명을 연구대상으로 설정하였다. 자료 분석을 위해 SPSS 22.0과 AMOS 21.0 을 사용하였으며 연구결과는 다음과 같다. 첫째, 아동이 지각한 부모의 방임 양육태도는 자아탄력성에 부적 영향을 준 반면 학대 양육태도는 자아탄력성에 유의미한 영향을 미치지 않았다. 둘째, 아동이 지각한 부모의 방임 양육태도는 사회적 위축과 우울에 모두 유의미한 정적 영향을 미쳤으며 학대 양육태도는 우울에 정적 영향을 미쳤으나 사회적 위축에 미치는 영향은 유의미하지 않았다. 셋째, 자아탄력성은 사회적 위축과 우울에 부적 영향을 미쳤다. 넷째, 자아탄력성은 아동이 지각한 부모의 방임 양육태도가 사회적 위축 및 우울에 미치는 영향에서 부분 매개효과를 나타냈으며, 학대 양육태도가 사회적 위축 및 우울에 미치는 영향에서는 매개효과가 나타나지 않았다. 본 연구결과는 부모의 방임 양육태도로 인한 아동의 사회적 위축과 우울을 감소시키기 위해서는 아동의 자아탄력성을 향상시켜야 함을 시사한다. 아울러 연령대에 따라 신체적 학대, 정서적 학대와 방임 각각의 독립변수로 작용하고 자아탄력성에 미치는 영향 및 각각의 독립변수로서 사회적 위축과 우울 관계에서 자아탄력성의 매개효과에 대해 검증해야 한다는 것을 시사한다. This study’s purpose was to examine the effects of parental neglect and maltreatment perceived by children on their resilience, social withdrawal and depression. Additionally, the mediating effects of resilience between parental neglect and maltreatment perceived by children and their social withdrawal and depression were examined. This study used the data from the Korea Children and Youth Panel Survey (KCYPS) collected by the Korea Youth Policy Institute from 2010 to 2016 for the fourth grade of elementary school in 2013. Final 2009 students were as research objects. Data analysis was conducted using SPSS 22.0 and Amos 21.0. Results indicated that first, parental neglect had a negative effect on resilience. In contrast, parental maltreatment had no significant effect on resilience. Second, parental neglect had positive effects on social withdrawal and depression, and parental maltreatment had a positive effect on depression, while the effect on social withdrawal was not significant. Third, resilience had significant effects on both social withdrawal and depression. Last, resilience had a partial mediation between parental neglect and social withdrawal and between parental neglect and depression. In contrast, resilience had no mediation between parental maltreatment and social withdrawal and between parental maltreatment and depression. Thus, to improve children s resilience, it is necessary to reduce parental neglect. To reduce children’s social withdrawal, it is necessary to reduce parental neglect. To reduce children’s depression, it is necessary to reduce both parental neglect and maltreatment. To reduce children s social withdrawal and depression, it is necessary to improve their resilience. In addition, depending on the separate age groups, physical maltreatment, emotional maltreatment, and neglect should respectively be as independent variables, and their effects on resilience should be tested separately, the mediating role of resilience between physical maltreatment, emotional maltreatment, and neglect with their social withdrawal and depression should be examined.

정서적 학대 및 방임 행동 범주 및 하위 행동 타당성 연구

황옥경(Hwang, Ock Kyeung),구은미(Koo, Eun Mi),박지민(Park, Ji Min),송미령(Song, Mi Ryoung) 한국아동복지학회 2021 한국아동복지학 Vol.70 No.2

본 연구에서는 사회복지 현장과 사법 판단 과정에서 적용 가능한 정서적 학대와 방임의 행동 범주 및 하위 행동 유형을 확인하고 이에 대한 타당도를 검증하고자 한다. 이를 위해 먼저, 정서적 학대와 방임의 행동 범주에 대한 선행연구 자료를 모두 수집 · 분석하고 이를 기초로 수차례의 연구진 회의를 통해 1차 조사용 델파이 질문지를 구성하였다. 델파이 조사는 21명의 아동복지 관련 전문가를 대상으로 두 차례에 걸쳐 실시하였다. 델파이 조사 결과는 내용 타당도 비율, 전문가 의견 수렴도 및 합의도, 안정도, 평균 및 표준편차, 신뢰도를 통해 분석하였다. 연구 결과는 다음과 같다. 정서적 학대의 행동 범주는 모두 ‘자극 및 상호작용 차단하기’, ‘무시/거부하기’, ‘겁주기’, ‘모멸감 주기’, ‘위험한 상황에 노출시키기’, ‘능력 이상의 무리한 기대와 강요하기’의 6개이며, 각각의 행동 범주에 따른 하위 행동 유형에 대해 타당성을 검증하였다. 방임의 행동범주는 ‘물리적 방임’, ‘정서적 방임’, ‘의료적 방임’, ‘교육적 방임’, ‘환경적 방임’으로 5가지이며, 각각의 행동 범주에 따른 하위 행동 유형에 대해 타당성을 검증하였다. 본 연구의 정서적 학대 및 방임의 행동 범주와 하위 행동에 대한 분석결과는 정서적 학대 및 방임을 판단하는 과정에서 다양한 행동의 맥락과 행동 범위 그리고 행동 양상에 대한 이해와 판단에 크게 도움이 될 것이다. 이로써 본 연구는 아동보호서비스 과정에서 정서적 학대와 방임을 분별하여 간과되는 사례가 없도록 하는데 유용하게 활용될 것이다. This study aimed to verify the validity of relevant behavioral categories and sub-behaviors in determining emotional abuse and neglect while examining social and judicial criteria to consider the applicability of these categories in the field of child abuse. To this end, the literature review on the behavioral categories of emotional abuse and neglect was analyzed. Based on this, the first Delphi questionnaire was composed through several research team meetings. The Delphi survey was conducted twice with 21 child welfare professionals. Then these were analyzed using the content feasibility ratio, expert opinion convergence and consensus, stability, mean and standard deviation, and reliability. The six behavioral categories of emotional abuse were “cutting off stimuli and interactions”, “ignoring/rejecting”, “intimidating”, “giving a sense of humiliation”, “exposing to dangerous situations”, and “excessive expectations and coercion of abilities”, and the validity of each type of behavior (in determining that a child is a victim of emotional abuse) was verified. The five behavioral categories of neglect were “physical neglect”, “emotional neglect”, “medical neglect”, “educational neglect” and “environmental neglect”, and the validity of each type of behavior(in determining that a child is victim of neglect) was verified. The behavior categories and sub-behaviors of emotional abuse and neglect in this study would help to broaden our understanding of the context, scope, and aspects of behavior in determining emotional abuse and neglect. This study also suggests that child protection services clearly distinguish between emotional abuse and neglect and do not minimize their seriousness in the assessment process.