Actually in every text justification EXCEPT fit and left, DXF 11 controls the actual point where you would expect the text to be.
For example, you have a text entity with DXF 10 (10,10,0) and DXF 11 (0,0,0) ... left justification ... the texts left justification point will be at 10,10,0, now lets say you programmatically change the text from left to middle center, now the middle center will be at 0,0,0, and while DXF 10 still shows 10,10,0 it is ignored. If you change DXF 11 to 10,10,0 the middle center of that text will be at 10,10,0, and DXF 10 will still be 10,10,0 ....
Imagine it like this
(if (or (> DXF72 0) (> DXF73 0))
(use DXF11)
(use DXF10)
)