Evidence is reviewed for a developmentally-emerging behavioral phenotype in
individuals with Down syndrome that includes significant delay in nonverba
l cognitive development accompanied by additional, specific deficits in spe
ech, language production, and auditory short-term memory in infancy and chi
ldhood, but fewer adaptive behavior problems than individuals with other co
gnitive disabilities. Evidence of dementia emerges for up to half the indiv
iduals studied after age 50. Research issues affecting control group select
ion in establishing phenotypic characteristics are discussed, as well as th
e possible genetic mechanisms underlying variation in general cognitive del
ay, specific language impairment, and adult dementia. (C) 2000 Wiley-Liss,
Inc.