We've seen an explosion of interest in non-threaded, single-process approaches to concurrency in the Ruby and Python communities in the past couple years. Much of the difficulty here lies in frameworks, libraries, and development paradigms which were not designed to be threadsafe (or to teach threadsafe programming) from the start. Developers and library authors have for years been able to operate under the assumption that Ruby code in a single process is executed serially and not in parallel. In environments which permit parallel, concurrent execution inside the boundaries of a single process, authors must return to the foundations of what they've created and scrutinize every bit, reconceptualizing their programs in terms of shared state and mutation.
Individual developers relying on these libraries must also scrutinize each and every gem they require to ensure that the code is threadsafe as well. This is not an easy task, as reasoning about state is inherently difficult, especially when the original program may not have been designed with concurrency in mind, and even moreso when one was not the original author. Further, we haven't seen a significant chasm between things which "are" or "are not" threadsafe emerge in the Ruby community, and it is not common to certify one's code as "threadsafe" on release. That said, it's commendable that the Rails team has worked diligently to piece through each component of the framework and certify it clean.
I do not mean to suggest that multithreaded code written in Ruby is uncommon, unsafe, or a bad idea in general. Many applications running in environments without a GIL/GVL such as JRuby utilize this functionality effectively today. What I'm suggesting is that process-based concurrency (Mongrel/Passenger/Unicorn, et al) is often favored by developers because it eliminates a large swath of potential pitfalls (or rather, trades them for increased usage of system resources).
In light of this, we've seen developers in the Ruby and Python communities experimenting with and popularizing alternate concurrency models, not the least of which include cooperatively-scheduled fibers/co-routines and evented programming. These approaches avoid a specific subset of the challenges in concurrent multithreaded execution, while enabling limited concurrency in one process. Matt is quick to point out that these models don't achieve true concurrent parallelism, but do offer significant benefit over standard serial execution. At the same time, they impose a different sort of complexity upon the programmer -- either requiring her to reason about a request or operation in terms of events and callbacks, or to use a library to cooperatively schedule multiple IO-bound tasks within a single VM (which may hide some complexity, but introduce uncertainty by clouding what is actually happening behind the scenes).
I wish Ruby and Python the best here. I have a significant investment in both. But as long as developers must ask of libraries "Is it threadsafe?" with fear and negative presumption, traditional multithreaded concurrency might not be ideal given the investment required to achieve it safely and correctly.
More than anything, I hope for continued complex reasoning and thought on this question. We simply must move beyond reductionist statements such as "threads are hard!" to progress. I'd suggest that threaded programming in and of itself is not hard per se -- reasoning about shared state is, and the developer bears a responsibility to either eliminate, or minimize and encapsulate it properly in her code. Evented and coroutine-oriented programming brings its own challenges. Actor models are interesting and may be appropriate for some contexts. STM's pretty cool too, but it would not be proper to hang one's hopes upon something which is not likely to cure all ills.
There is no panacea for concurrency. There will always be challenges and tradeoffs involved in developing performant, efficient applications within the constraints of both hardware and programmer resources. We would do well to push ourselves toward a greater understanding of the challenges in developing such programs, as well as the tradeoffs involved with each approach. I think this article is a step in the right direction.