Oracle makes use of a SGA shared memory area to store information that is (and has to be) accessible to all sessions/transactions. For example, when a row is locked, that lock is in memory (as an attribute of the row) and all the other transactions need to see it is locked.
In windows a thread cannot access another process's memory
threads cannot access memory that
belongs to another process, which
protects a process from being
corrupted by another process.
As such, in Windows Oracle must be a single process with multiple threads.
On OS's supporting the sharing of memory between processes then it is less work for Oracle to work as a multi-process architecture and leave the process management to the OS.
Oracle runs a number of background threads/processes to do work that is (or can be) asynchronous to the other processes. That way those can continue even when other processes/threads are blocked or busy.