ESPU Congress 2018 - Abstract Book

232 29 th CONGRESS OF THE ESPU 14:40–14:50 S4-2 (LO) DYNAMIC ROLE OF PUBLIC RELATION IN COUNSELLING OF GENDER IN ADOLESCENTS: ETHICS, EMOTIONS & MORALS IN INDIAN SCENARIO Neeraj DIXIT, Shridhar GHAGANE and R.B. NERLI Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & MRC, Belagavi, Ind, Department of Urology, Belagavi, INDIA PURPOSE Transgender individuals are people whose self-identification as male, female, both, or neither (gen- der identity) does not match their assigned gender. The phenomenon of transgender is uncommon, but as more media attention is directed toward the subject, more adolescents and young adults are “coming out” at an earlier age. This paper examines the responsibilities of public relation counsellor to counsel to those who identify or might be identifiable as “transgendered” at our tertiary care centre. MATERIAL AND METHODS During the study period from 2010 to 2016, 23 patients approached the urological services with confused gender status (Male/Female or Both). The study involves two main objectives. The first is to describe the critical reflection necessary to deal with gender-variant clients in an ethical and effective manner. The second is to discuss a psychotherapeutic model that is likely to be effective in integrating such reflection into the clinical process, and to make counselling recommendations on that basis. RESULTS Upon counselling the patients are interviewed several times in-depth. We could able to judged that comprehensive psychological, social & moral health support is extremely difficult for these youth, who are at risk for multiple psychosocial problems including family and peer rejection, harassment, trauma, abuse, inadequate housing, legal problems, lack of financial support, and educational problems. The findings of this study suggests that interpersonal stigma also functions to strengthen medical power and authority in the face of provider uncertainty. Within functional theories of stigma, it is important to acknowledge the role of public relation counsellor to understand how defaming attitudes function to maintain systems of inequality that contribute to health disparities. CONCLUSIONS The study reveals that timely psychosocial intervention to achieve gender/body congruence paired with affirmative mental health therapy as an appropriate approach to minimize negative health outcomes and maximize positive futures for transgender juveniles.