Stephen,
Try defending the suit when declarer has no club pitch coming from dummy and you may see why the first club is ducked by LHO in the following layout:
Remember, the defenders don't know that declarer is about to pitch a club from dummy on the other high diamond when the first club is played from dummy (although they may certainly suspect it).
If declarer does not have a pitch coming, declarer will be left guessing whether clubs are 3-3 and even if they are, is the Ace onside (play the Q the second time) or is the J onside (play the 10)?
If LHO wins the first club, declarer has no real chance other than to play the 10 the second time (dropping AJ tight doesnt count). You force him into a winning position by taking the first club. (Even if clubs are 3-3, if declarer plays the Q the second time, he has another club loser when he has no pitch from dummy coming). Since West knows from his holding that any finesse of the J is going to win, he needs to try to give declarer a losing option. Therefore, the first club has to be ducked by West.
Now....declarer takes his club pitch on the other high diamond. He then crosses to dummy via the diamond ruff, and leads dummy's last club.
Now it becomes a fascinating game of chicken and psychological warfare.
If the original holdings were as listed above, when RHO plays small on the second club lead, declarer will probably decide that no defender can possibly duck twice here and play the 10 losing to the A, and declarer will romp home but oops....if the original holdings were as they actually are, and you managed to duck the last club from dummy smoothly....
And if declarer decides that maybe, just maybe, you did duck it twice, so plays the Q but oops, partner did duck the A the first time.
And in the cases where clubs are 3-3? it wont matter as declarer just wins (or loses) this club to either hand, and then ruffs one in dummy and claims. Making either 6 or 7.
1♥ P 1♠ P
2♣ P 2♥ P
3♦ P 4♥ P
4NT P 5♣ P
6♥ all pass