Like you (I think?), I instinctively mistrust reversal-entries, in general.
More specifically, though, I do trade some (from fast-moving, constant-volume, intraday charts), taking only entries in the overall direction of a suitable longer (but still intraday) trend.
In other words, I'm trying to catch only reversals out of a recent correction/retracement and back into a broader trend.
I use bar-patterns (e.g. selected classic 1-2-3 formations) for my entry timing, setting an initial stop-loss above the most recently formed swing-high/low.
These are fast-moving trades, which some people - perhaps including previous posters in this thread - might classify (wrongly, in my view) as "trading noise".
Whether they're "noise" or not, I believe that it's not particularly difficult, with practice, to achieve a 70-75% win-rate on a 1:1 R:R, trading these ... and sometimes it's possible to achieve significantly better R:R's than that, with stop-loss adjustments along the way.
It's both "discretionary" and "structured".