Well, my understanding is that this isn't really proven (or maybe it is, I don't know), but one theory is that by slowly staging down to lagering temp, you coax the yeast into remaining active at a very low temperature which lager yeast can do but ale yeast cannot, and they continue to work to clean up all the byproducts that are appropriate in ales but not in lagers.
The other theory is that that doesn't happen, that the yeast just drop out and go dormant like they do if you cold crash, and that what you're really doing is just dropping out all the harsher flavor profiles, like Yooper said.
If the latter is the case, then leaving a bottle or kegged beer in the fridge for a prolonged period before consuming will do exactly the same thing. And in either case, there are certainly lagered Ales. The most common cases being Kolsch and Altbier, but you can lager pretty much anything if you want. Scottish Ales would be good lagered, as would Bieres de Garde, or another obvious one is Baltic Porter. Hell, even some commercial Belgian brewers give a little cold conditioning prior to releasing their beer, and that's the last group of beers you'd think of as "lagered".
I get annoyed by the use of "lager" referring to a broad category of beers based on yeast strain as well as the "lagering" process. But that's the American terminology we use, and they mean different things. Lagers should be, but don't have to lagered, and ales can certainly be lagered.