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Child 1: The parents of 23-month-old Dale are concerned because their son uses only eight distinct words. Although he can make his wants known to caregivers through gesturing and use of his limited vocabulary, he is becoming frustrated by his parents’ insistence on his use of language and their inability to understand his requests. At mealtimes and throughout the day, Dale is engaged in “conversation” with family members and enjoys making the sounds of a motor as he pushes his trucks along the ground. He enjoys “calling” his older siblings to dinner when asked by his father and generally is well behaved.

Child 2: Sarah, a 51/2-year-old child who received speech and language services as a preschooler through an Early Childhood Program because of poor language formulation, is struggling to recognize some upper case and most lower case letters of the...

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