Bilstein, Fox, King, Icon, and a few others use a stack of successively reducing diameter, thin stainless deflecting discs for both the compression and the rebound valving. This makes them have variable damping based on the shaft speed of the shock. Hit a small bump and the shaft doesn't move very fast giving maximum damping. Hit a large bump and the shaft moves a lot faster giving softer valving so that the hit isn't as jarring.
Putting my first set of Bilstein 5100's on my old yota 4wd truck was transformative. They made a truck that was a pretty average dirt performer (w/ Rancho 5000's on it) into a truck that I could use to chase down desert racers while supporting them during a race. Granted, the roads that I was on were not as rough as the race course, but prior to putting the Bilsteins on the truck I just couldn't drive it that fast on those roads. I am convinced that one root cause of the common admonishment to air down when in the dirt is because of the shocks that were available then. I very rarely ever air down, and when I do it is extremely rare that I drop more than 10 psi. For where I go and in the conditions that I go there in, airing down just isn't needed very often. Prior to putting the Bilstiens on that truck I aired down at the sight of dirt.
The trickle-down is that the average truck can greatly benefit from this type of damper, but some are perfectly happy with the old twin-tube shock design.