That is a good summary Timinator. You can, though, have less exhaust (drive) pressure than intake manifold pressure. It is not the pressure that drives the turbine, velocity and mass flow drive it. If you can make the velocity and pressure, and you have a turbine that can use it, you can make the shaft power. This is more difficult to do with low pressures and avoiding a larger/heavier turbine wheel. The trade off is the response of the turbo. I think as the turbos have gotten better along with converters and everything else, in addition to the understanding of what makes it work together, this will become more common. With our low rpm V6, we are more challenged, so it would be interesting to see the experience of those monitoring back pressure, what they are seeing, and what is their combo. I don't think a turbo, that has lower back pressure than boost is practical for the street yet, but again who knows what others have done. If I had more time and money, this would be fun to figure out what is possible.
We had a guy on this site, a number of years ago, build a really cool setup. He was running lower drive pressure than intake pressure. Somebody else may remember, I think it was Don Wang. I can try to find it later.