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The assessment and the significance of attachment in young children with Down-syndrome (DS) is scientifically controversial. Data from 16 young children with attachment classification at the mental age of 13-15 months (about 24 months chronological age) indicate meaningful relations between quality of attachment and behavior in Bayley test situations (IBR) during the first 5 years of life. Not until late in the preschool years was language and social- cognitive development of the securely attached children measurably advanced relative to that of insecurely attached children. It appears that quality of attachment is reflected first in children's social-emotional behavior and only later in developmental achievements