Well I appear to be the only one familiar with the concept, and the bottom line is people are likely to use it more and more. If you have been following the trend in 2007 and looking at the capabilities in 2010 (which are pretty impressive), then you need to be aware of this. Why because clearly MS sees Sharepoint as the backbone for small buisness information exchange. In the last year in our company, I have not seen a stand alone Access App that is not integrated with Sharepoint.
So because of this trend, MS will make features like this easier to use, like it or not. I have seen a demo for a native many to many relationship, as part of future Access builds. Take a look at macros. Couple years back it was said that MS would deprecate them. Instead all the new wizards do only macros.
So all I am stating are the facts, and because of integration with Sharepoint lists, I really think you will be seeing this more, and need to be aware:
1. MS supports multivalued fields
2. These fields work integrated with SP or stand alone
3. The structure is normal
4. This structure is normalized behind the scenes in system tables.
5. "that's the way it's supposed to be done". Maybe up until now, and outside of Access. But this technique or some version of this may become the norm in the future. MS is not pushing this, but presenting this as a viable alternative.
It is the same thing with attachment data types. In 2007 Access handles the attachment datatype vastly different than prior OLE objects. The new attachments are far more efficient. I see MVPs all the time saying not to put images or other objects in the db. But again that paradigm is changing.
Bottom line you can decide to use or not use any of these features. However, I would not deny their existence hoping they will go away. I strongly believe as a Access developer/tech user you need to be aware in the migration to Sharepoint integration and its ramifications to Access.