It deserves some explanation. And it's simple as rain.
Consider this. A program has to do some things at the same time. Say, your program is printing "hello world!", each second, until somebody enters "hello, Mike", then, each second, it prints that string, waiting for John to change that in the future.
How do you write this the standard way? In your program, that basically prints "hello," you must create another branch that is waiting for user input.
You create two processes, one outputting those strings, and another one, waiting the user input. And, the only way to create a new process in UNIX was calling the system call fork(), like this:
ret = fork();
if(ret > 0) /* parent, continue waiting */
else /* child */
This scheme posed numerous problems. The user enters "Mike" but you have no simple way to pass that string to the parent process so that it'd be able to print that, because +each+ process has its own view of memory that isn't shared with the child.
When the processes are created by fork(), each one receives a copy of the memory existing at that moment, and if that memory really changes later, the mapping that was identical for those memory segments will be chaged at once (it's called a copy-on-write mechanism).
Another thingies to share between the child and the parent are, for example, opened file descriptors, descriptors of the shared memory, input/outpue stuff, etc., that also wouldn't survive after fork().
So. The very fork() call had to be alleviated, to include shared memory/signals etc. But how? This was the idea behind clone(). That call takes a flag indicating what exatly would you share with the child. For example, the memory, the signal handlers, etc. And if you call this with flag=0, this will be identical to fork(), up to the args they take. And when POSIX pthreads are created, that flag will reflect the attributes you have indicated in pthread_attr.
From the kernel point of view, there's no difference between the processes created such way, and no special semantics to differentiate the "processess". The kernel does not even know, what that "thread" is, it creates a new process, but it simply combines it as belogning to that process group that had the parent who called it, taking care what that process may do. So, you have different procesess (that share the same pid) combined in a process group each assigned with a different "TID" (that starts from PID of the parent).
Care to explain that clone() does exactly that. You may pass this whaterver you need (as the matter of fact, the old vfork() call will do). Are you going to share memory? Hanlers? You may tune everything, just be sure you don't clash with the pthreads library written right away around this very call.
An important thing, the kernel vesion is quite outrageous, it expects just 2 out of 4 parameters to be passed, the user stack, and options.