Paul Stenner

Doing Q methodology: theory, method and interpretation

This paper has a marked practical aspect. We wish to encourage and facilitate the use of Q methodology amongst psychologists interested in qualitative research. The paper duly answers a number of pertinent ‘how to do Q’ questions. Yet our primary intention is not to produce an exhaustive ‘how to do Q’ guide. In discussing issues of theory, method and interpretation in Q methodology, the main aim of the paper is rather to address some of the more common misunderstandings and misrepresentations that constitute obstacles to the use of one of the very first ‘alternative’ methods to have been developed in the context of psychology. In addressing such obstacles, the paper hopes to bring ‘Why do Q?’ questions to the fore. In so doing, Q methodology will also be ‘positioned’ in relation to a number of other qualitative research methods, each of which currently enjoys a degree of prominence within the psychological discipline.

The understanding of their illness amongst people with irritable bowel syndrome: a Q methodological study

Irritable Bowel Syndrome (IBS) refers to a collection of gastrointestinal symptoms which affect up to 22% of the Western population. Although the disorder costs the British National Health Service and employers vast sums of money in terms of repeated physician visits, medications, and loss of productivity, the cause or causes of IBS are still unknown, and there is no cure which is lastingly effective. Since IBS is not life-threatening, and the symptoms can be hidden from others, many consider it a trivial disorder. For an individual with IBS, however, the uncertainty regarding cause, diagnosis and treatment may lead to anxiety and constant searching for causes, or to hopelessness and resignation. The present study aims to help clarify these problems by discovering how those who suffer from IBS understand the nature and causality of their own illness. Through use of Q methodology with a sample of 60 people with IBS, a taxonomy of 7 clear and distinct accounts is identified and described. These data (based on Q factor analysis) are described in qualitative detail and discussed in relation to the problem of improving communication with doctors, and untangling issues of responsibility for illness.

Older people and ‘active ageing’: Subjective aspects of ageing actively

Following a critical overview of the active ageing concept, a thematic decomposition of 42 transcribed interviews with British people aged 72 years and over indicates that active ageing is understood in relation to physical, cognitive, psychological and social factors, but that these co-exist in complex combinations. The notion of activity in active ageing is grasped in relation to an active/passive distinction which emphasizes the enhancement or diminishment of concrete powers of activity. A ‘challenge and response’ framework is suggested for future research on active ageing.

The Jerry Springer Show as an emotional public sphere

The public sphere debate in social theory has been a topic of considerable interest amongst scholars analysing the talk show genre. Habermas attached great importance to the potential of rational critical discussion to create consensus and thereby legitimation in democratic society. He was concerned that the media gave a false impression of engagement in a public sphere while managing rights of access and speech in a manner that was inimical to open public discussion. In contrast, cultural commentators on the talk show genre have been impressed by the richness and spontaneity of interactions on the shows, suggesting that they might have a positive role in public participation despite not meeting Habermas’s criteria for a public sphere. In consequence, the literature is moving away from the public sphere debate and focusing on issues of voice and expression in analyses of talk shows. This article, however, makes the argument that many of Habermas’s concerns are still highly relevant to the genre. This is demonstrated through an analysis of The Jerry Springer Show. On the surface, this show seems to have little to do with rational critical discussion. The analysis reveals a number of parallels between the conception of the rational critical public sphere and The Jerry Springer Show, leading to a revision of the received view of Habermas’s work in the analysis of mediated discussion. A range of implications for the mediation of deliberation, participation and expression are explored.

Which measure of quality of life performs best in older age? A comparison of the OPQOL, CASP-19 and WHOQOL-OLD

Background Most measures of quality of life (QoL) are based on ‘expert’ opinions. This study describes a new measure of QoL in older age, the Older Peoples QoL Questionnaire (OPQOL), which is unique in being derived from the views of lay people, cross-checked against theoretical models for assessment of comprehensiveness. Its performance was assessed cross-sectionally and longitudinally. It was compared with two existing QoL measures in the cross-sectional studies in order to identify the optimal measure for use with older populations. Methods Data were taken from three surveys of older people living at home in Britain in 2007–2008: one population survey of people aged 65+, one focused enumeration survey of ethnically diverse older people aged 65+, one follow-up of a population survey of people aged 65+ at baseline in 1999/2000. Measures were QoL (using OPQOL, Control, Autonomy, Satisfaction, Pleasure - 19 items (CASP-19), World Health Organization Quality of Life questionnaire - version for older people (WHOQOL-OLD)), health, social and socioeconomic circumstances. The CASP-19 and WHOQOL-OLD were not administered to the longitudinal sample in order to reduce respondent burden. Results Psychometric tests were applied to each QoL measure. The OPQOL, CASP-19 and WHOQOL-OLD performed well with the cross-sectional samples; however, only the OPQOL met criteria for internal consistency in the Ethnibus samples. Conclusion The OPQOL is of potential value in the outcome assessment of health and social interventions, which can have a multidimensional impact on peoples lives. Further research is needed to examine whether differences by ethnicity reflect real differences in QoL, methodological issues, variations in expectations or cultural differences in reporting.

Being Affected: Spinoza and the Psychology of Emotion

This paper describes the relevance of Spinozas Ethics for contemporary thought on the psychology of emotion. Spinozas account of the passions completely inverts the Cartesian primacy given to mind. For Spinoza the critical task is to formulate an ethics of knowing, which begins with an understanding that body and mind are two attributes of the same substance. Increasing the capacity of the body to both be affected and affect others is the means by which the knowing subject progresses. The article sketches out the key concepts involved in this system and shows how they sensitize us to a post-cognitive understanding of emotion in Prousts Swanns Way.

‘I love being in the garden’: enchanting encounters in everyday life

This paper examines how the domestic garden is experienced as an intimate place in everyday life. With reference to Bachelard we seek to analyse prosaic pleasures and enchanting encounters that are revealed through multi-sensorial engagements and emotional attachments within the social/natural world. In particular we focus on three modalities of the everyday: work or tasks involved in gardening; that is, sensuous and embodied experiences explored through the notion of haptic perception; ‘cultivation’ in the sense of taking care of the garden, as well as caring for the self and others; and emotional attachments invoking body/place memories, especially of childhood gardens. To illustrate these themes we use garden narratives drawn from the Mass Observation Archive (MOA).

Measuring asthma-specific quality of life: structured review

To cite this article: Apfelbacher CJ, Hankins M, Stenner P, Frew AJ, Smith HE. Measuring asthma‐specific quality of life: structured review. Allergy 2011; 66: 439–457.

Jealousy as a manifold of divergent understandings : a Q methodological investigation

By regarding jealousy as a discursively constituted manifold of understandings it becomes germane to explore that multiplex through pattern analysis. In the reported Q methodological study 10 orthogonal, alternative constructions of self-generated jealousy scenarios are reported and interpreted. Implications for jealousy research and the study of accounts of experience in general are discussed.

An investigation of constructions of justice and injustice in chronic pain: a Q-methodology approach.

This study used Q-methodology to explore justice-related accounts of chronic pain. Eighty participants completed the Q-sorting procedure (33 chronic pain sufferers and 47 non-pain sufferers). Analysis revealed five main factors. Three factors blame: society for poor medical and interpersonal treatment; the chronic pain sufferer for indulging in self-pity and unempathic healthcare workers for ignoring patients. A fourth factor acknowledges the unfairness of pain and encourages self-reliance. The fifth factor rejects injustice in the chronic pain discourse. Overall, there is a shared view that chronic pain brings unfair treatment, disrespect and a de-legitimization of pain. Future research ideas are suggested.