On the spot, I don't think I have ever gone behind the head except maybe when I was doing intramural ball in college.
The main guy who trained me after college always said the punch looked much stronger and that's what I have typically done.
Depending on what type of play it is I also increasingly find myself going with a strong point (not exactly sure what the reference to the wimpy point with slightly pint elbow is) and saying "offense."
At the table I go behind the head then point with the same hand.
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