Josh/Camp Royall/2010 form notes
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means of communication
He doesn't really use any means of deliberate communication; you have to anticipate his needs and discern his wants based on his actions. For example, at home he will often open the refrigerator door when he is hungry. He will not indicate what type of food he wants, however; the closest he comes to indicating a preference is that if you say the right thing, he will sometimes quickly turn his attention elsewhere (as if he's thinking "ok, that's settled, need to go somewhere else before they change their minds").