According to Lustig and Koester, which one of the following is most likely NOT a force that creates cultural differences?

Name: According to Lustig and Koester, which one of the following is most likely NOT a force that creates cultural differences?
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Pathology, which refers to the study of diseases, is not typically considered a direct force in creating cultural differences, unlike biology, ecology, and history, which directly influence cultural development and diversity.

According to Lustig and Koester, Which One of the Following