Presents a 10-yr speech treatment history of a 35-yr-old man with Wilson's disease in whom a severe dysarthria persisted despite drug and dietary controls. One aspect of therapy that played a critical role in the transfer of intelligible speech to situations outside the clinical setting was the use of a protocol for systematic client self-evaluation and for systematic elicitation and use of listener feedback. Methods that may prove helpful in the study of intelligibility maintenance in other dysarthric clients are presented. |