Schizophrenia is a severe mental disorder that primarily affects the semantic and pragmatic aspects of language. The aim of this study was to analyze pragmatics at macrotextual, microtextual and writing levels in persons with schizophrenia in order to ascertain the narrative characteristics and determine the nature of such pragmatics according to positive and negative symptomatology. Cross-sectional and quasi-experimental study was conducted on a sample of 41 individuals with schizophrenia. An analysis of textual pragmatics was performed using the participants’ summary of "The Tale of Landolfo Rufolo". Macrotextual coherence was functional in that it presented key plot information and respected the timeline of the story. Microtextual cohesion was characterized by repetitions, low lexical variation, low syntactic complexity and maintained morphology. The participants' writing was consistent with a generalized dysorthographic profile. In addition, the present work revealed significant differences according to symptomatology. Individuals with positive symptomatology showed lower macrotextual coherence, while microtextual cohesion entailed a greater number of words and therefore greater lexical variation. In contrast, those with negative symptomatology presented a greater dysorthographic profile. This study provides a functional overview of written language in persons with schizophrenia, highlighting the need for a multidisciplinary speech and language therapy intervention to enhance such individuals’ quality of life by favoring their social integration.