There is this sentence in the book "Fight Club" and I don't quite understand the verbs that are used, can you help me?

The guidance that you should follow is

  1. The past perfect is used in narrative to set background and context.

Marla had started going to support groups after she found the first lump.

after she found the first lump is a subordinate clause (adverbial).

The tense in subordinate clauses is not dependant on the tense in the main clause.

In practice there is little difference between the simple past and the past perfect.