Pretense with dolls begins when a child extends pretend self actions to a doll. A child might start by pretending to feed themselves, then reach out and pretend to be feeding a doll. This is further developed when a child begins giving the doll an active role rather than a passive one. For example, the doll doesn't just eat when fed by the child, instead, the child pretends that the doll reaches for the spoon and feeds itself. After the doll is given an active role, the child begins to bestow upon it sensory and emotional attributes, such as feeling sad, happy, or hurt. The highest form of doll play appears when a child is about 3 and a half years of age. At this point, the child is capable of giving the doll cognitive abilities.