Abstract
Q methodology is a unique, yet underutilized methodology designed specifically to scientifically study subjectivity. Q, as it is most often referred to, is an appropriate methodology whenever a researcher is interested in uncovering and describing the multiple divergent viewpoints on any topic. Such discovery of viewpoints provides insight into the subjectivities related to policies, values, priorities, judgements, opinions, and decisions. The disciplines where Q has been used for research are many, and include health sciences, education, and other social science / behavioral science fields. Because of its rather idiosyncratic place in research, however, many Q methodologists are self-taught or seek education through a few select universities that offer graduate level Q courses. The key to successfully approaching a Q study is to embrace its unique approach to studying subjectivity such that it is a powerful tool in health science education and other fields. It is common to find inconsistencies related to Q terminology, analyses, and decision making across studies. There is often an over reliance on concepts that come from purely quantitative methodologies such as R factor analysis rather than embracing the qualitative-quantitative hybridity of Q. This article is written as a primer with a focus on understanding Q at a deeper level rather than a step-by-step guide.
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The I4S website is www.qmethod.org; the journal website is https://ojs.library.okstate.edu/osu/index.php/osub/index.
References
Banasick, S. (2019). Ken-Q Analysis (Version 1.0.6) [Software]. Available from https://shawnbanasick.github.io/ken-q-analysis/https://doi.org/10.5281/zenodo.1300201.
Berkhout, J. J., Teunissen, P. W., Helmich, E., van Exel, J., van der Vleuten, C. P., & Jaarsma, D. A. (2017). Patterns in clinical students’ self-regulated learning behavior: A Q-methodology study. Advances in health sciences education: theory and practice, 22(1), 105–121. https://doi.org/10.1007/s10459-016-9687-4.
Braswell, R. (2022). Comparative rotations and analyses of Q data: A worked example. In J. Rhoads, D. Thomas, & S. Ramlo (Eds.), Cultivating Q methodology: Essays honoring Steven R. Brown, (pp. 145–181). International Society for the Scientific Study of Subjectivity.
Brown, S. R. (1972). A fundamental incommensurability between objectivity and subjectivity. In S. R. Brown, & D. J. Brenner (Eds.), Science, psychology, and communication: Essays honoring William Stephenson, (pp. 58–94). Teachers College Press.
Brown, S. R. (1980). Political subjectivity: Applications of Q methodology in political science. Yale University Press.
Brown, S. R. (1986). Q technique and method: Principles and procedures. In W. D. Berry, & M. S. Lewis-Beck (Eds.), New tools for social scientist: Advances and applications in research methods (pp. 57–76). Sage Publications.
Brown, S. R. (2008). Q methodology. In M. Lisa, & Given (Eds.), The SAGE encyclopedia of qualitative research methods, (pp. 699–702). Sage.
Brown, S. R. (2010). Q methodology. In N. J. Salkind (Ed.), Encyclopedia of Research Design, (pp. 1149–1155). Sage.
Brown, S. R., Baltrinic, E., & Jencius, M. (2020). From Concourse to Q Sample to Testing Theory. Operant Subjectivity, 41, 93–109. https://doi.org/10.15133/j.os.2019.002.
Brown, S. R., Danielson, S., & van Exel, J. (2015). Overly ambitious critics and the Medici Effect: A reply to Kampen and Tamás. Quality and Quantity, 49, 523–537. https://doi.org/10.1007/s11135-014-0007-x.
Burt, C. L. (1941). The factors of the mind; an introduction to factor-analysis in psychology. The Macmillan Company.
Burt, C., & Stephenson, W. (1939). Alternative views on correlations between persons. Psychometrika, 4, 269–228. https://doi.org/10.1007/BF02287939.
Chang, Y. C., Xiao, X., Nkambule, N., et al. (2021). Exploring emergency physicians’ professional identities: A Q-method study. Advances in Health Science Education, 26, 117–138. https://doi.org/10.1007/s10459-020-09973-y.
de Jonge, L.P.J.W.M., Timmerman, A.A., Govaerts, M.J.B., Muris, J.W.M., Muijtjens, A.M.M., Kramer, A.W.M., & van der Vleuten, C.P.M. (2017) Stakeholder perspectives on workplace-based performance assessment: Towards a better understanding of assessor behaviour. Advances in Health Science Educucation, 22, 1213–1243. https://doi.org/10.1007/s10459-017-9760-7
Good, J. M. M. (2000). William Stephenson and the Post World War II bifurcation of british psychology. Operant Subjectivity, 23(3), 116–130. https://doi.org/10.15133/j.os.2000.006.
Ho, G. W. K. (2017). Examining perceptions and attitudes: A review of likert-type scales versus Q-Methodology. Western Journal of Nursing Research, 39(5), 674–689. https://doi.org/10.1177/0193945916661302.
Kampen, J. K., & Tamás, P. (2014). Overly ambitious: Contributions and current status of Q methodology. Quality & Quantity, 48, 3109–3126. https://doi.org/10.1007/s11135-013-9944-z.
Kramer, B., & Gravina, V. (2004). Theoretical rotation as a Tool for identifying points of leverage in people’s perspectives for Program Improvement. Operant Subjectivity: The International Journal for Q Methodology, 27(3), 125–144.
McKeown, B. (2001). Loss of meaning in likert scaling: A note on the Q methodological alternative. Operant Subjectivity, 24, 201–206.
McKeown, B., & Thomas, D. (2013). Q methodology. Sage.
Newman, I. & Ramlo, S. (2010). Using Q Methodology and Q Factor Analysis in Mixed Methods Research. In A. Tashakkori, & C. Teddlie (Eds.), Handbook of Mixed Methods in Social & Behavioral Research (Second ed., pp. 505–530). Sage.
Ramlo, S. (2015). Theoretical significance in Q methodology: A qualitative approach to a mixed method. Research in the Schools, 22(1), 68–81.
Ramlo, S. (2016a). Centroid and theoretical rotation: Justification for their use in Q methodology research. Midwestern Researcher, 28(1), 73–92. https://doi.org/10.1177/1558689815610998.
Ramlo, S. (2016b). Mixed method lessons learned from 80 years of Q methodology. Journal of Mixed Methods Research, 10, 28–45. https://doi.org/10.1177/1558689815610998.
Ramlo, S. (2017). The preferences of Q methodologists at the factor-analytic stage: An examination of practice. Research in the Schools, 24(2), 40–55.
Ramlo, S. (2020). Divergent viewpoints about the statistical stage of a mixed method: Qualitative versus quantitative orientations. International Journal of Research & Method in Education, 43(1), 93–111. https://doi.org/10.1080/1743727X.2019.1626365.
Ramlo, S. (2021a). Q methodology as mixed analysis. In A. Onwuegbuzie, & B. Johnson (Eds.), The Routledge reviewer’s guide for mixed methods Research Analysis, (pp. 199–208). Routledge.
Ramlo, S. (2021b). Promoting conceptual understanding of Q methodology using insights from science education. International Journal of Multiple Research Approaches, 12(3), 319–334. https://doi.org/10.29034/ijmra.v12n3a3.
Ramlo, S. (2022a). Conceptualizing Q methodology as an Integrated Analysis. In A. Onwuegbuzie, & J. Hitchcock (Eds.), The Routledge Handbook for advancing integration in mixed methods research, (pp. 324–340). Routledge.
Ramlo, S. (2022b). Mixed methods research and quantum theory: Q methodology as an exemplar for complementarity. Journal of Mixed Methods Research, 16(2), 226–241. https://doi.org/10.1177/15586898211019497.
Ramlo, S. E. (2022c). Higher education during COVID-19: Q methodology studies online. In SAGE Research Methods Cases. https://doi.org/10.4135/9781529603453
Ridenour, C. S., & Newman, I. (2008). Mixed methods research: Exploring the interactive continuum. Southern Illinois University Press.
Stephenson, W. (1935). Technique of factor analysis. Nature, 136, 297.
Stephenson, W. (1953). The study of behavior: Q-technique and its methodology. University of Chicago Press.
Stephenson, W. (1961). Scientific creed, 1961: Philosophical credo. Abductory principles. The centrality of self. The Psychological Record, 11, 1–26. https://doi.org/10.1007/BF03393380.
Stephenson, W. (1980). Consciring: A general theory for subjective communicability. Annals of the International Communication Association, 4, 7–36. https://doi.org/10.1080/23808985.1980.11923791.
Stephenson, W. (1986). William James, Niels Bohr, and complementarity: II–Pragmatics of a thought. Psychological Record, 36, 529–543. https://doi.org/10.1007/BF03394971.
Stephenson, W. (1987). How to make a good cup of tea. Operant Subjectivity, 10(2), 37–57.
Stephenson, W. (1988). The quantumization of psychological events. Operant Subjectivity, 12(1/2), 1–23. https://doi.org/10.15133/j.os.1988.015.
Stephenson, W. (1990a). Fifty years of exclusionary psychometrics: I. Q technique. Operant Subjectivity, 13(3), 105–120. https://doi.org/10.15133/j.os.1990.002.
Stephenson, W. (1990b). Fifty years of exclusionary psychometrics: II. Developments. Operant Subjectivity, 13(4), 141–162. https://doi.org/10.15133/j.os.1990.007.
Stephenson, W. (2007). Consciring: A General Theory for Subjective Communicability. Operant Subjectivity, 30(3/4). Retrieved from https://ojs.library.okstate.edu/osu/index.php/osub/article/view/8838
Thomas, D. D., & Baas, L. R. (1992). The issue of generalization in Q methodology: “Reliable Schematics” revisited. Operant Subjectivity, 16, 18–36. https://doi.org/10.15133/j.os.1992.014.
Thomas, D., Rhoads, J., & Ramlo, S. (2022). Introduction. In J. Rhoads, D. Thomas, & S. Ramlo (Eds.), Cultivating Q methodology: Essays honoring Steven R. Brown, (pp. 3–17). International Society for the Scientific Study of Subjectivity.
van Exel, J., Baker, R., Mason, H., Donaldson, C., & Brouwer, W. (2015). Public views on principles for health care priority setting: Findings of a european cross-country study using Q methodology. Social Science & Medicine, 126, 128–137. https://doi.org/10.1016/j.socscimed.2014.12.023.
Watts, S., & Stenner, P. (2012). Doing Q methodological research: Theory, method & interpretation. Sage.
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Ramlo, S.E. Using Q methodology in health sciences education to study subjectivity. Adv in Health Sci Educ 28, 1711–1722 (2023). https://doi.org/10.1007/s10459-023-10214-1
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DOI: https://doi.org/10.1007/s10459-023-10214-1