Speech disorders, as part of schizophrenia, have been described since its nosological differentiation, and although research in the field of thought disorders focuses mainly on content disorders, disorders in the formation and expression of thoughts represent primary elements of the disease, associating with deficits in social functioning, cognitive deficits, and poor clinical prognosis, with predictive potential independent of neurocognitive factors. Pragmatic language deficits are closely related to neurocognition and mentalization, and have long been considered a subcomponent of the latter. However, the overlap between pragmatic and mentalization deficits is not all-encompassing, pragmatic communication deficits presenting themselves among patients with schizophrenia even in the absence of other cognitive function deficits (pertaining to mentalization, executive functions), and may represent an individual deficient domain. A review of the available literature over the last 5 years reveals that the studies reported so far mainly address the ability of individuals to use language and means of linguistic expression, overlooking the evaluation of non-verbal, extralinguistic, and paralinguistic means of communication. It also highlights the small number of studies conducted in relation to the predictive potential of high-level linguistic functions, including here the understanding of humor and metaphors, as well as the small number of standardized test batteries available for assessing pragmatic language. Language assessment is influenced by numerous limitations, attempts to describe language modalities following 3 pathways: assessment of statistical properties, assessment of linguistic production in terms of lexical and syntactic structure, and assessment of discourse structure. Computational methods of language assessment, through natural language processing and machine learning, are beginning to stand out as promising perspective areas in understanding the risk of developing psychosis, as well as as potential suppliers of biomarkers, to the extent to which language deficits would be accepted as possible biomarkers for psychoses.