Processes and threads are fundamental concepts in Windows Vista. A process contains the virtual address space, threads, and resources for program execution. Each process has a process environment block (PEB) and can create multiple threads, each with their own thread environment block (TEB). Threads are the unit of CPU scheduling and each process must have at least one thread. Interprocess communication (IPC) allows processes to communicate and share data using various methods like pipes, mailslots, sockets, and shared memory. Synchronization objects like mutexes, events, and semaphores coordinate access to shared resources between threads.