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Research on violation of maxim of patients with schizophrenia symptom is quite rare in Indonesia context. Most scholars do their research by taking characters in Hollywood film as their subject. Based on internet searching, there only one who do research with patients in mental hospital as the subject of the research ( Jati et.al 2018). The present research is intended to find out the type of violation of maxim do by Paranoid Schizophrenia patients during their conversation and the causes of the violation. The Grice theory of cooperative principle is used to find out the maxim that violated by the patients. Scale for the Assessment of Thought, Language, and Communication ( TLC) by Nancy Andresen is used for finding out the causes of violation. The method employed was descriptive qualitative approach and the data were obtained from six paranoid schizophrenia patients who were interviewed by co assistant doctor who in charge in mental hospital of South East Sulawesi . The result of the research shows that patients indicate to violate three maxims proposed by Grice. The breakdowns are 6 utterances indicate the violation maxim of relation, 31 utterances indicate the violation maxim of quantity, and 10 utterances violate maxim of quality. The causes of violation are poverty of speech, circumstantially and tangentiality.