The distinction I want to draw is between types of teams. Some teams are very very organic, they let most of their developers do their own thing and they come together relatively independently. In these teams, having the language dictate approach isn't just handy, it's critical to keep the system coherent. You can instantly say during code review “yeah, that's not how it's done in Clojure”. Scala doesn't have the same level of guidance. Style is dictated by the frameworks you choose, and even then there's room for error. I use style, by the way, not as meaning “please use two spaces instead of tabs”, but rather as “parameter order in these cases should be this, method names should be structured like this, our class names usually look like this”, etc.
The other team is the team that has a clear single or group of guiding individuals who have a vision of how they want the system to work on a stylistic level, and who can explain that vision to the rest of the team. For these types of teams, where those individuals enjoy the process of coming up with the vision, Scala can be exactly what they're looking for, because they can develop the style that fits best with the system they're building. This shouldn't be confused with architecture. Architecture is important, but style is not a subset of architecture, it's an overlapping set.
A choose-a-phone is difficult for a single instrument player who is used to constraints, but for someone who likes to push the edges of constraints and come up with just the right combination of sounds for this particular piece, a choose-a-phone gives them the freedom to do that without having to pull in seven different instruments. Indeed, if we could make a choose-a-phone, I doubt every symphony composer would shirk it—I suspect some would embrace it. Not as something for research, but as something that lets you produce a different kind of musical piece. It wouldn't work for every composer or orchestra, but for those who could establish a coherent sound from the vast range of the choose-a-phone, it would be a fantastic opportunity to create something new and, from some perspectives, better.
The way I've successfully used Scala has always been about discipline. You choose the path you want to follow through the language, and you stick to it via code review. If you discover a new corner or feature of the language, you discuss its usefulness and choose to either incorporate it into your existing processes or not. Could you just say “let's use this other language for this”? Yes. But Scala lets you explore a large set of opportunities within a similar syntax, and use them where they are appropriate. If the syntax is what bothers you, or if the particular approach to a given piece of functionality is what bothers you (this has happened at times in my experience), then you can explore a different language; Scala certainly doesn't preclude you from doing that. But your first forays and prototypes can be within the context of a language everyone on your team already knows, making for a smaller incremental step. Smaller incremental steps mean faster iteration, and faster iteration means faster decisions on whether something is a good idea or not.
Scala more than many other languages doesn't dictate approach. But that doesn't mean approach doesn't matter. It means the approach ball is in your court. Pick the wrong one, and your experience will probably suck. Let that taint your view of the language if you wish, but keep in mind that there may be an approach that will be a lot nicer. For some people and some teams, that's not what they want out of a language, and that's fine. For some people and some teams, that's exactly the kind of empowerment they want, and that's fine too.
There is no difference in practicality, only in personality.
PS: I love Clojure and Erlang, too ;)