“…Evidence for both delayed and deviant aspects of early language and nonverbal cognitive development has been reported for children with Down syndrome (Abbeduto & Murphy, 2004;Beeghly, Weiss-Perry, & Cicchetti, 1990;Chapman & Hesketh, 2001;Fowler, 1990;Miller, 1990). With increasing age, young children with Down syndrome exhibit increasing linguistic deficits in relation to their nonverbal cognitive abilities (Chapman, 2003;Chapman & Hesketh, 2001), including pretend play (Beeghly, 1997;Beeghly, Perry, & Cicchetti, 1989;Cielinski, Vaughn, Seifer, & Contreras, 1995).…”